Provider Demographics
NPI:1053086546
Name:ROSS-STEED ADULT DAYCARE PROFESSIONAL LLC
Entity Type:Organization
Organization Name:ROSS-STEED ADULT DAYCARE PROFESSIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DASHUNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-695-7215
Mailing Address - Street 1:343 ARCHWOOD ST N
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-3621
Mailing Address - Country:US
Mailing Address - Phone:731-240-1663
Mailing Address - Fax:
Practice Address - Street 1:343 ARCHWOOD ST N
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3621
Practice Address - Country:US
Practice Address - Phone:731-240-1663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care