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General NPI Number Information
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NPI Number | 1649082140
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Entity Type | Organization
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Legal Business Name | LOVE & TENDERNESS ADULT DAY PROGRAM LP
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 10018 W FLORISSANT AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63136-2102
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Country | US
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Telephone | 636-541-1048
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Fax | 726-262-0013
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Provider Business Mailing Address
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Address Line | 4517 FAIR AVE FL 2
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City | SAINT LOUIS
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State | MO
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Zip | 63115-3054
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Country | US
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Telephone | 314-392-1266
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Fax | 726-262-0013
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Authorized Official
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Title or Position | OWNER
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Name | LINDA SUZETTE JAMES
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Credential |
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Telephone | 314-392-1266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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