Organization
NORTH COUNTY ADULT CENTER LLC
Active
Other names
NCAC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN M ANDERSON (PRESIDENT)
(314) 972-8200
Entity
Organization
Contact information
Practice address
500 GREENWAY MANOR DR, FLORISSANT, MO 63031
(314) 972-8200
(314) 972-8964
Mailing address
4205 SHERMAN PARK DR, SAINT CHARLES, MO 63303-4500
(314) 972-8200
(314) 972-8964
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
311Z00000X
Custodial Care Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/12/2010
Last updated
07/25/2011
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