Organization
CAMBRIDGE ADULT DAY CENTER-THAYER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNA LEE BIRD (PROGRAM MANAGER)
(417) 264-2951
Entity
Organization
Contact information
Practice address
RR 3 BOX 3439, THAYER, MO 65791-9304
(417) 264-2951
Mailing address
RR 3 BOX 3439, THAYER, MO 65791-9304
(417) 264-2951
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1228
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26
—
MO
Enumeration date
01/20/2015
Last updated
01/20/2015
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