| NPI | 1184106866 |
|---|---|
| Doing Business As | WALLACE FAMILY ADULT DAYCARE |
| Entity Type | Organization |
| Authorized Contact | FRANCENE WALLACE Provider 314-732-9159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |