Supra Seniors LLC
NPI #1326241803 in Webster Groves, Missouri
Provider Information
- NPI Number
- 1326241803
- Entity Type
- Organization
- Organization Name
- Supra Seniors LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Jun 11, 2007
- Last Updated
- Jul 25, 2008
Practice Location
- Address
- 524 S ELM AVE
- City
- Webster Groves
- State
- Missouri
- ZIP Code
- 63119
- Phone
- (314) 968-2222
Authorized Official
- Name
- DAVIS LANE ALLEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (314) 968-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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| Developmental Center of the Ozarks | AI Deep Dive |
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