Organization
THE LIFE OF JESUS ORGANIZATION
Active
Other names
Guardians Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTINE ALILONU (DIRECTOR)
(573) 803-8154
Entity
Organization
Contact information
Practice address
14 N SPRIGG ST, CAPE GIRARDEAU, MO 63701-5526
(573) 332-1423
Mailing address
14 N SPRIGG ST, CAPE GIRARDEAU, MO 63701-5526
(573) 332-1423
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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