institution
Supra Seniors Llc
Adult Day Care Clinic/Center in Webster Groves, Missouri
NPI 1326241803

Supra Seniors Llc is an Adult Day Care Clinic/Center based in Webster Groves, MO and is specialized in Adult Day Care. Supra Seniors Llc practices in Webster Groves, MO. The NPI Number for Supra Seniors Llc is 1326241803 and holds a License No. 685 (Missouri).

The current practice location address for Supra Seniors Llc is 524 S Elm Ave, Webster Groves, MO and can be reached out via phone at 314-968-2222 and via fax at 314-968-2224.

Location: 524 S Elm Ave, Webster Groves, MO, 63119
institution
Provider Profile Details
NPI Number
1326241803
Provider Name
Supra Seniors Llc
Credential
Provider Entity Type
Organization
Address
524 S Elm Ave, Webster Groves, MO, 63119
Phone Number
314-968-2222
Fax Number
314-968-2224
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
685 05 MO
296305709 05 MO
institution
Provider Business Practice Location Address Details
Address
524 S Elm Ave
City
State
Zip
63119
Phone Number
314-968-2222
Fax Number
314-968-2224
person
Provider Business Mailing Address Details
Address
524 S Elm Ave
City
State
Zip
63119
Phone Number
314-968-2222
Fax Number
314-968-2224
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
License No.
685 (Missouri)
Definition
Definition to come...
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