Organization
MIDWEST ADULT DAY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE SAURBERRY (DIRECTOR)
(314) 731-1922
Entity
Organization
Contact information
Practice address
2940 DERHAKE RD, FLORISSANT, MO 63033-3900
(314) 731-1922
Mailing address
2940 DERHAKE RD, FLORISSANT, MO 63033-3900
(314) 731-1922
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1440
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639422884
—
MO
Enumeration date
10/12/2017
Last updated
10/12/2017
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