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NPI Code Detail

MEDICARE: UNITED ADULT DAY CENTER

MEDICARE: UNITED ADULT DAY CENTER
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
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1669128138
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED ADULT DAY CENTER
Provider Business Mailing Address
First Line : 3217 LEMAY FERRY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63125-4419
Country : US
Telephone Number : 314-919-5214
Fax Number :
Provider Business Practice Location Address
First Line : 4670 LANSDOWNE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63116-1523
Country : US
Telephone Number : 314-919-5214
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : KHANH BUI
Credential :
Telephone Number : 314-919-5214
Provider Enumeration Date : 02/23/2022
Last Update Date : 04/25/2023

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Directions to “UNITED ADULT DAY CENTER ” Practice Location

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