NPI 1104036003

Home Away From Home Adult Daycare

Organisation Adult Care Home Facility Saint Louis, MO

Practice location

Address: 5535 Delmar Blvd, Saint Louis, MO 63112-3005
Phone: (314) 265-2096
Mailing address: PO Box 32086, Olivette, MO 63132-8086

Authorised official

Name: Andrea Jones
Title: Owner
Phone: (314) 713-8222

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Missouri →

Registry record

NPI: 1104036003
Entity type: Organization
NPI issued: 22 May 2007
Record last updated: 29 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.