| Organization Name: | TWIN OAKS ADC LLC |
| NPI Number: | 1033567482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN WELCH (ADMINISTRATOR) |
| Mailing Address: | 113 N Madison St Malden |
| State: | MO US |
| Postal Code: | 638631939 |
| Phone Number: | 5732768916 |
| Fax Number: | 5732762263 |
| NPI Enumeration Date: | 05/26/2016 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |