Organization
BON VIVANT ADULT DAY CLUB L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MAUREEN HAMPTON (ASSISTANT ADMINISTRATOR)
(636) 343-1600
Entity
Organization
Contact information
Practice address
1525 BOWLES AVE., STE A, FENTON, MO 63026
(636) 343-1600
(636) 343-1496
Mailing address
1525 BOWLES AVENUE, SUITE A, FENTON, MO 63026
(636) 343-1600
(636) 343-1496
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
652
MO
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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