Organization
ENHANCED QUALITY OF LIFE LLC ADULT DAY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMONE WEBB (MEMBER)
(314) 610-6092
Entity
Organization
Contact information
Practice address
400 CHEZ PAREE DR, HAZELWOOD, MO 63042-3540
(314) 610-6153
Mailing address
PO BOX 262, FLORISSANT, MO 63032-0262
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2010
Last updated
09/11/2010
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