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4th Generation Adult Day Care LLC

Clinic/Center, Adult Day Care in Saint Louis, MO. Organization (NPI-2).

NPI number1104770841
StatusActive
Last updated in NPPESFeb 20, 2026

Details

NPI
1104770841
Entity type
Organization (NPI-2)
Legal business name
4th Generation Adult Day Care LLC
Organization subpart
No
Enumeration date
Feb 20, 2026
Certification date
Feb 20, 2026
Last updated
Feb 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA0600X Clinic/Center, Adult Day Care––Yes

Practice location

8700 Goodfellow Blvd
Saint Louis, MO 63147-1446

Phone 314-473-1118

Mailing address

8700 Goodfellow Blvd
Saint Louis, MO 63147-1446

Authorized official

Barry D Moore
Executive Director
3144731118

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