| NPI | 1205965118 |
|---|---|
| Other Name | ST ELIZABETH EAST ADULT DAY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN ANTONIO MILLER Administrator 314-772-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 647) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |