Organization
PREMIUM ADULT DAY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE PIRTLE (DIRECTOR)
(636) 244-2112
Entity
Organization
Contact information
Practice address
104 JUNGERMANN RD, SAINT PETERS, MO 63376-1608
(636) 244-2112
Mailing address
104 JUNGERMANN RD, SAINT PETERS, MO 63376-1608
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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