Organization
BOUNTIFUL BLESSINGS NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL LEWIS (OWNER)
(314) 922-8132
Entity
Organization
Contact information
Practice address
206 OLD DORSETT RD, MARYLAND HEIGHTS, MO 63043-3406
(314) 643-7861
Mailing address
206 OLD DORSETT RD, MARYLAND HEIGHTS, MO 63043-3406
(314) 643-7861
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/28/2023
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