Organization Name: | TENDER HANDS ADULT HEALTH DAYCARE |
NPI Number: | 1811124803 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM WILBUR BOUSMAN (EXECUTIVE DIRECTOR) |
Mailing Address: | 6500 Dunn Rd Desloge |
State: | MO US |
Postal Code: | 636011539 |
Phone Number: | 5734315300 |
Fax Number: | 5734315300 |
NPI Enumeration Date: | 06/17/2009 |
NPI Last Update Date: | 06/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |