MEDICARE: ACORP ADULT DAY PROGRAM CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1154285302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACORP ADULT DAY PROGRAM CORP

Provider Business Mailing Address
First Line	:	9832 MILL PASS LN
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63134-4118
Country	:	US
Telephone Number	:	314-650-9615
Fax Number	:

Provider Business Practice Location Address
First Line	:	6936 GREENWAY AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-5129
Country	:	US
Telephone Number	:	314-650-9615
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TINIKA MONRO
Credential	:
Telephone Number	:	314-650-9615

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ACORP ADULT DAY PROGRAM CORP ” Practice Location

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