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NPI Code Detail

MEDICARE: CAMBRIDGE ADULT DAY SERVICES LLC

MEDICARE: CAMBRIDGE ADULT DAY SERVICES LLC
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
1253Z00000XIn Home Supportive Care AgencyMO

General Provider Information

NPI Number : 1992121859
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMBRIDGE ADULT DAY SERVICES LLC
Provider Business Mailing Address
First Line : 4249 MICHIGAN AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63111-1126
Country : US
Telephone Number : 314-353-2273
Fax Number : 314-352-0022
Provider Business Practice Location Address
First Line : 4249 MICHIGAN AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63111-1126
Country : US
Telephone Number : 314-353-2273
Fax Number : 314-352-0022
Authorized Official
Title or Position : DIRECTOR
Name : MRS. CHRISTINE MICHELLE ZERJAV
Credential :
Telephone Number : 314-422-3142
Provider Enumeration Date : 03/14/2014
Last Update Date : 03/14/2014

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Directions to “CAMBRIDGE ADULT DAY SERVICES LLC ” Practice Location

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