Organization
HEAVENLY HANDS ADULT DAYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA G BUCKNER (DIRECTOR)
(314) 853-0648
Entity
Organization
Contact information
Practice address
12891 PENNRIDGE DR, BRIDGETON, MO 63044-1238
(314) 942-9361
(314) 942-9041
Mailing address
12891 PENNRIDGE DR, BRIDGETON, MO 63044-1238
(314) 942-9361
(314) 942-9041
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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