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General NPI Number Information
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NPI Number | 1831576990
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Entity Type | Organization
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Legal Business Name | ARBOR HEALTH ADULT DAY CARE
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 1004 PENNSYLVANIA AVE
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City | UNIVERSITY CITY
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State | MO
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Zip | 63130-2325
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Country | US
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Telephone | 314-726-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 6960 OLIVE STREET
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City | UNIVERSITY CITY
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State | MO
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Zip | 63130
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Country | US
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Telephone | 314-726-1100
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | WES P SPERR
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Credential | MBA
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Telephone | 636-489-8118
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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 | MO
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