A Different World In-Home Services LLC
In Home Supportive Care in Ferguson, MO. Organization (NPI-2).
NPI number1306368097
StatusActive
Last updated in NPPESJul 13, 2017
Details
- NPI
- 1306368097
- Entity type
- Organization (NPI-2)
- Legal business name
- A Different World In-Home Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2017
- Last updated
- Jul 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
111 Church St Ste 104Ferguson, MO 63135-2457
Phone 314-397-1279
Mailing address
111 Church St Ste 104Ferguson, MO 63135-2457
Phone 314-397-1279 · Fax 314-736-1388
Authorized official
Danyelle N Nelson
Owner
3143971279
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