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Organization

CAMBRIDGE AUDLT DAY CENTER MICHIGAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE MICHELLE ZERJAV (EXECUTIVE DIRECTOR)
(314) 932-1221
Entity
Organization

Contact information

Practice address
4249 MICHIGAN AVE, SAINT LOUIS, MO 63111-1126
(314) 932-1221
(314) 932-1220
Mailing address
4249 MICHIGAN AVENUE, ST. LOUIS, MO 63111-1126
(314) 932-1221
(314) 932-1220

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1048
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1048
MO
Enumeration date
09/14/2012
Last updated
09/14/2012
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