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WALLACE FAMILY ADULT DAYCARE NPI 1184106866


NPI Information

NPI: 1184106866
Provider Name: WALLACE FAMILY ADULT DAYCARE

Doing Business As: WALLACE FAMILY ADULT DAYCARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1131 MEYER ST
SAINT LOUIS, MO
ZIP 63130
Phone: (314) 732-9159
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WALLACE FAMILY ADULT DAYCARE is an adult day care clinic center in Saint Louis, MO. WALLACE FAMILY ADULT DAYCARE NPI is 1184106866. The provider is registered as an organization entity type.
The provider Is Doing Business As Wallace Family Adult Daycare.

The provider's business location address is:

1131 MEYER ST
SAINT LOUIS, MO
ZIP 63130-826
Phone: (314) 732-9159

The provider's authorized official is Francene Wallace .
The authorized official title is Provider and has the following contact phone number (314) 732-9159.

The enumeration date for this NPI number is 8/30/2018 and was last updated on 8/30/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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