Healthcare Provider Details

I. General information

NPI: 1487026316
Provider Name (Legal Business Name): A PLUS MEDICAL ADULT DAY CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2015
Last Update Date: 10/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3312 BROWN RD
SAINT LOUIS MO
63114-4328
US

IV. Provider business mailing address

9312 LEWIS AND CLARK BVLD
SAINT LOUIS MO
63136
US

V. Phone/Fax

Practice location:
  • Phone: 314-567-0073
  • Fax: 314-567-1940
Mailing address:
  • Phone: 314-495-6412
  • Fax: 314-567-1940

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: MR. CHARLES L HILTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 314-495-6412