Organization
DESTINY ADULT DAY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TERRY (EXECUTIVE DIRECTOR)
(314) 669-1755
Entity
Organization
Contact information
Practice address
1702 MISSOURI BLVD, JEFFERSON CITY, MO 65109-1734
(314) 669-1755
Mailing address
1702 MISSOURI BLVD, JEFFERSON CITY, MO 65109-1734
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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