Organization · NPI-2

Ace Valley Consumer Direct Services LLC

In Home Supportive Care · Florissant, MO

NPI number1194234344
StatusActive
Last updated in NPPESSep 20, 2017

Details

NPI
1194234344
Entity type
Organization (NPI-2)
Legal business name
Ace Valley Consumer Direct Services LLC
Organization subpart
No
Enumeration date
Sep 20, 2017
Last updated
Sep 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

4554 Richmond Forest Dr
Florissant, MO 63034-2849

Phone 314-276-7699

Mailing address

4554 Richmond Forest Dr
Florissant, MO 63034-2849

Phone 314-276-7699

Authorized official

Eric Lester Harris
Executive Director
3142767699

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