Premium Adult Day Center LLC
NPI #1619488632 in Saint Peters, Missouri
Provider Information
- NPI Number
- 1619488632
- Entity Type
- Organization
- Organization Name
- Premium Adult Day Center LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Oct 17, 2017
- Last Updated
- Oct 17, 2017
Practice Location
- Address
- 104 JUNGERMANN RD
- City
- Saint Peters
- State
- Missouri
- ZIP Code
- 63376-1608
- Phone
- (636) 244-2112
Authorized Official
- Name
- YVETTE PIRTLE
- Title
- DIRECTOR
- Phone
- (636) 244-2112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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