Organization
MIDWEST ADULT DAYCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE SAURBERRY (DIRECTOR)
(314) 731-1880
Entity
Organization
Contact information
Practice address
7207 N LINDBERGH BLVD, HAZELWOOD, MO 63042-2086
(314) 731-1880
(314) 731-1966
Mailing address
7207 N LINDBERGH BLVD, HAZELWOOD, MO 63042-2086
(314) 731-1880
(314) 731-1966
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1074
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861763047
—
MO
05
—
M264690108
—
MO
Enumeration date
10/24/2012
Last updated
10/24/2012
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