National Provider Identifier Database

DELTA SOUTH ADULT CARE CENTER LLC
Adult Day Care


Contact Information

DELTA SOUTH ADULT CARE CENTER LLC
640 COLONEL GEORGE E DAY PARKWAY
SIKESTON, MO63801
Phone: 573-471-0466
Fax: 573-471-4918
Website:
Specialty Taxonomy Code
* Adult Day Care 261QA0600X

* Indicates primary specialty

NPI Profile & details for DELTA SOUTH ADULT CARE CENTER LLC

NPI Number 1780130930
Legal business name
LBN
DELTA SOUTH ADULT CARE CENTER LLC
Authorized official TERRY COLE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/28/2016
Last updated 08/28/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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