Organization
A M HEALTHCARE ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA R BOWLSON (DIRECTOR)
(314) 831-6400
Entity
Organization
Contact information
Practice address
3837 VAILE AVE, SUITE D, FLORISSANT, MO 63034
(314) 831-6400
(314) 839-1081
Mailing address
3837 VAILE AVE, SUITE D, FLORISSANT, MO 63034
(314) 831-6400
(314) 839-1081
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1052
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052
—
MO
Enumeration date
09/06/2012
Last updated
09/06/2012
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