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General NPI Number Information
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NPI Number | 1689519662
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Entity Type | Organization
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Legal Business Name | GOLDEN YEARS ADULT DAYCARE CENTER LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 1000 FAIRGROUNDS RD STE 105
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2381
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Country | US
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Telephone | 314-546-9485
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Fax | 636-493-0009
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Provider Business Mailing Address
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Address Line | 29 GARY CT APT D
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2360
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Country | US
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Telephone | 314-546-9485
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Fax | 636-493-0009
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Authorized Official
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Title or Position | OWNNER
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Name | FELISHA ANN BASS
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Credential |
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Telephone | 314-546-9485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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