Organization
SONSHINE ADULT DAY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUGUSTA A MATHIS (OWNER)
(314) 942-1703
Entity
Organization
Contact information
Practice address
8368 LATTY AVE, HAZELWOOD, MO 63042-3236
(314) 942-1703
(314) 942-1703
Mailing address
8368 LATTY AVE, HAZELWOOD, MO 63042-3236
(314) 942-1703
(314) 942-1703
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1065
MO
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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