| Organization Name: | GREATER LOVE ADULT DAYCARE, LLC |
| NPI Number: | 1235413295 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EUNICE SANDERS (DIRECTOR) |
| Mailing Address: | 8081 Olive Blvd University City |
| State: | MO US |
| Postal Code: | 631302022 |
| Phone Number: | 3149974776 |
| Fax Number: | 3149974779 |
| NPI Enumeration Date: | 10/07/2011 |
| NPI Last Update Date: | 10/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 979 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |