Organization
ULTIMATE CARE ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA S AYUSO (MANAGER)
(314) 802-7126
Entity
Organization
Contact information
Practice address
2905 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63115-1618
(314) 802-7126
Mailing address
2905 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63115-1618
(314) 802-7126
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
LC0994486
MO
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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