Organization
OLAD ADULT CARE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OMOLADUN TIAMIYU (PROGRAM DIRECTOR)
(314) 862-4419
Entity
Organization
Contact information
Practice address
7220 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63133-1758
(314) 862-4419
Mailing address
7220 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63133-1758
(314) 862-4419
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
782
MO
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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