Organization
DEVINE CARE CONSUMER DIRECT SERVICES,LLC
Active
Other names
Classic adults day care center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FOLASADE AYINMODU (DIRECTOR)
(314) 323-9426
Entity
Organization
Contact information
Practice address
3236 PARKER RD, FLORISSANT, MO 63033-3733
(314) 856-9393
(314) 856-9677
Mailing address
3236 PARKER RD, FLORISSANT, MO 63033-3733
(314) 856-9393
(314) 856-9677
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
842
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801029673
—
MO
Enumeration date
06/10/2013
Last updated
06/10/2013
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