Organization · Type 2 NPI
Bon Vivant Adult Day Club L.l.c.
Adult Day Care Clinic/Center · Fenton, MO
NPI number
1861549412
Active
Practice location
1525 Bowles Ave., Ste A
Fenton, MO 63026
Fax (636) 343-1496
Mailing address
1525 Bowles Avenue, Suite A
Fenton, MO 63026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | 652 (MO) |
Adult Day Care Clinic/Center: Definition to come...
Other adult day care clinic/center providers in Fenton
About NPI 1861549412
Bon Vivant Adult Day Club L.l.c.'s National Provider Identifier is 1861549412, issued on Jan 5, 2007. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Fenton, MO. The record was last updated on Aug 22, 2020.