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Organization

TIA'S ADULT DAYCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TILWUANA WELLS PLBA (OWNER)
(314) 441-1923
Entity
Organization

Contact information

Practice address
212 E ELM ST, ALTON, IL 62002-5201
(314) 441-1923
Mailing address
14623 ROUVRE DR, FLORISSANT, MO 63034-2317
(314) 441-1923

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
261QD1600X
Developmental Disabilities Clinic/Center

Other

Enumeration date
06/08/2026
Last updated
06/12/2026
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