Organization
DELTA SOUTH ADULT CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY COLE (OWNER)
(573) 471-0466
Entity
Organization
Contact information
Practice address
640 COLONEL GEORGE E DAY PARKWAY, SIKESTON, MO 63801
(573) 471-0466
(573) 471-4918
Mailing address
1515 E MALONE AVE, SIKESTON, MO 63801-3413
(573) 471-0466
(573) 471-4918
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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