Provider Demographics
NPI:1568921450
Name:LOTS OF LOVE ADULT DAYCARE, LLC
Entity Type:Organization
Organization Name:LOTS OF LOVE ADULT DAYCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-393-1909
Mailing Address - Street 1:9486 LEWIS AND CLARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-5104
Mailing Address - Country:US
Mailing Address - Phone:314-696-8750
Mailing Address - Fax:314-696-8752
Practice Address - Street 1:9486 LEWIS AND CLARK BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-5104
Practice Address - Country:US
Practice Address - Phone:314-696-8750
Practice Address - Fax:314-696-8752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care