Organization
GOLDEN YEARS ADULT DAY HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAQUITA MUHAMMAD (MEMBER)
(314) 657-7162
Entity
Organization
Contact information
Practice address
12257 BELLEFONTAINE RD, SAINT LOUIS, MO 63138-1447
(314) 741-8100
Mailing address
12257 BELLEFONTAINE RD, SAINT LOUIS, MO 63138-1447
(314) 741-8100
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
886
MO
261QM0850X
Adult Mental Health Clinic/Center
886
MO
Other
Enumeration date
05/31/2010
Last updated
05/31/2010
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