Healthcare Provider Details

I. General information

NPI: 1639841091
Provider Name (Legal Business Name): 1ST CARING TOUCH ADULT DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8940 RIVERVIEW DR
SAINT LOUIS MO
63137-2403
US

IV. Provider business mailing address

1230 HERMANS LAKE DR
FLORISSANT MO
63034-1562
US

V. Phone/Fax

Practice location:
  • Phone: 314-957-8351
  • Fax: 314-475-5221
Mailing address:
  • Phone: 314-957-8351
  • Fax: 314-475-5221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA V HEARN
Title or Position: OWNER
Credential:
Phone: 314-957-8351