Organization
JCL ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORA BUNCH (OWNER)
(314) 921-9448
Entity
Organization
Contact information
Practice address
563 HOWDERSHELL RD, FLORISSANT, MO 63031-6401
(314) 921-9448
(314) 921-9440
Mailing address
563 HOWDERSHELL RD, FLORISSANT, MO 63031-6401
(314) 921-9448
(314) 921-9440
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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