Organization
HOME AWAY FROM HOME ADULT DAY PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DANYIELLE BURKS (DIRECTOR)
(314) 827-2255
Entity
Organization
Contact information
Practice address
9516 LACKLAND RD, SAINT LOUIS, MO 63114-3603
(314) 827-2255
Mailing address
10816 OLIVE BLVD, SAINT LOUIS, MO 63141-7773
(314) 827-2255
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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