Organization
CAMBRIDGE ADULT DAY - ST. CHARLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE WAHOFF (MANAGER)
(314) 434-2769
Entity
Organization
Contact information
Practice address
2061 EXCHANGE DR, SAINT CHARLES, MO 63303-5987
(636) 757-3672
Mailing address
2061 EXCHANGE DR, SAINT CHARLES, MO 63303-5987
(636) 757-3672
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1194
MO
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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