Organization
MILLENNIUM MANOR ADULT DAY CENTER LLC
Active
Parent organization
MILLENNIUM MANOR ADULT DAY CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLENNIUM MANOR ADULT DAY CENTER LLC
Authorized official
CARLA LATEIKE WILLIAMS (CEO)
(314) 933-0415
Entity
Organization
Contact information
Practice address
147 BERRY MANOR CIR, SAINT PETERS, MO 63376-5392
(314) 933-0415
Mailing address
147 BERRY MANOR CIR, SAINT PETERS, MO 63376-5392
(314) 933-0415
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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