Organization
ASSISTED DAILY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANICE BROWN (EXECUTIVE DIRECTOR)
(314) 388-2600
Entity
Organization
Contact information
Practice address
9726 HALLS FERRY RD, SAINT LOUIS, MO 63136-4058
(314) 388-2600
Mailing address
9726 HALLS FERRY RD, SAINT LOUIS, MO 63136-4058
(314) 388-2600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122488
—
MO
Enumeration date
10/11/2009
Last updated
02/02/2010
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