Organization · Type 2 NPI

Celebration City Community Center

Adult Day Care Clinic/Center · St. Louis, MO

NPI number 1346886488 Active

Practice location

4130 E Lexington Ave
St. Louis, MO 63115-3333

Call (314) 261-4348 Map

Fax (313) 449-1338

Mailing address

1703 Stoney Terrace Dr
Ballwin, MO 63021-7783

Other practice locations

4126-4130 East Lexington Avenue, St. Louis, MO 63115 · (314) 261-4348

Specialties and licenses

Taxonomy	Code	License
Adult Day Care Clinic/Center Primary	261QA0600X	None listed

Adult Day Care Clinic/Center: Definition to come...

2 other providers at this address

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NPI record

NPI: 1346886488
Entity type: Organization (Type 2)
Issued: Nov 25, 2019
Last updated: Nov 25, 2019
Status: Active
Subpart: Yes of Same As Above

Other names

Celebration City Community Center · doing business as
Same As Above · doing business as

Authorized official

Mr. Prientiss Thomas, BS THEOLOGY, D. DIVI
Program Director
(314) 761-6132

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About NPI 1346886488

Celebration City Community Center's National Provider Identifier is 1346886488, issued on Nov 25, 2019. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in St. Louis, MO. The record was last updated on Nov 25, 2019.