Organization
1ST CHOICE ADULT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA TRANEE BAKER (OWNER)
(314) 942-1127
Entity
Organization
Contact information
Practice address
6344 GARESCHE AVE, JENNINGS, MO 63136-3446
(314) 942-1127
(314) 279-1006
Mailing address
6344 GARESCHE AVE, JENNINGS, MO 63136-3446
(314) 942-1127
(314) 279-1006
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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