Enhanced Quality of Life LLC Adult Day Program

NPI #1396082277 in Hazelwood, Missouri

Provider Information

NPI Number: 1396082277
Entity Type: Organization
Organization Name: Enhanced Quality of Life LLC Adult Day Program
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 11, 2013
Last Updated: Jan 11, 2013

Practice Location

Address: 400 CHEZ PAREE DR
City: Hazelwood
State: Missouri
ZIP Code: 63042-3540
Phone: (314) 839-7790

Authorized Official

Name: MR. RAYMONE WEBB
Title: OWNER
Phone: (314) 839-7790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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