Organization
ANISSA LONG DBA A PLEASANT DAY ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA LEE LONG RN (RN DIRECTOR OWNER)
(417) 206-4064
Entity
Organization
Contact information
Practice address
1231 S PORTER AVE, JOPLIN, MO 64801
(417) 206-4064
(417) 206-4064
Mailing address
1231 S PORTER AVE, JOPLIN, MO 64801
(417) 206-4064
(417) 206-4064
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
722
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296350705
—
MO
Enumeration date
10/02/2007
Last updated
07/14/2008
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