Organization · Type 2 NPI

Supra Seniors 2, LLC

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

NPI number 1720453178 Active

Practice location

4365 Chippewa St
St. Louis, MO 63116-1606

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

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

7 other providers at this address

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About NPI 1720453178

Supra Seniors 2, LLC's National Provider Identifier is 1720453178, issued on Dec 10, 2015. 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 Dec 10, 2015.