Organization
CAMBRIDGE ADULT DAY CENTER POPLAR BLUFF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LYLE (OWNER/MANAGING MEMBER)
(314) 795-8677
Entity
Organization
Contact information
Practice address
2162 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2440
(573) 609-2190
Mailing address
2162 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2440
(573) 609-2190
(573) 609-2302
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1301
MO
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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