{
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"ParentOrgLBN": "K AND C UNITED ENTERPRISES",
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"OrgName": "GOOD SHEPHERD ADULT DAYCARE",
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"FirstLineMailingAddress": "5990 PAGE BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT LOUIS",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63112-3500",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-477-5166",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5990 PAGE BLVD",
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"PracticeLocationAddressCityName": "SAINT LOUIS",
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"PracticeLocationAddressTelephoneNumber": "314-477-5166",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/24/2026",
"LastUpdateDate": "01/24/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLLINS",
"AuthorizedOfficialFirstName": "CORTAIGA",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "314-477-5166",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}