Organization Name: | OPEN ARMS ADULT DAY CARE LLC |
NPI Number: | 1609216258 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZENORA GLOVER (OWNER) |
Mailing Address: | 10437 Saint Charles Rock Rd Saint Ann |
State: | MO US |
Postal Code: | 630741815 |
Phone Number: | 3144275700 |
Fax Number: | 3144275703 |
NPI Enumeration Date: | 06/27/2013 |
NPI Last Update Date: | 06/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 1116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |