A Different World Consumer Direct Services LLC
In Home Supportive Care in Ferguson, MO. Organization (NPI-2).
NPI number1174076343
StatusActive
Last updated in NPPESJul 25, 2016
Details
- NPI
- 1174076343
- Entity type
- Organization (NPI-2)
- Legal business name
- A Different World Consumer Direct Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2016
- Last updated
- Jul 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
111 Church StSuite 104-105
Ferguson, MO 63135-2441
Phone 314-736-1388
Mailing address
111 Church StSuite 104-105
Ferguson, MO 63135
Phone 314-736-1388
Authorized official
Danyelle Nicole Nelson
Owner
3144827065
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