Organization
SUNSHINE ADULT DAY CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELORIS C CAMPBELL (DIRECTOR)
(314) 398-9800
Entity
Organization
Contact information
Practice address
6207 N LINDBERGH BLVD, HAZELWOOD, MO 63042-2817
(314) 731-8087
(314) 731-8079
Mailing address
6207 N LINDBERGH BLVD, HAZELWOOD, MO 63042-2817
(314) 731-8087
(314) 731-8079
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
746
MO
Other
Enumeration date
02/16/2008
Last updated
02/16/2008
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