Supportive Living Consumer Direct
NPI #1376784280 in Florissant, Missouri
Provider Information
- NPI Number
- 1376784280
- Entity Type
- Organization
- Organization Name
- Supportive Living Consumer Direct
- Primary Specialty
- Home Health
- Enumeration Date
- Mar 23, 2009
- Last Updated
- Mar 23, 2009
Practice Location
- Address
- 4015 SEVEN HILLS DR
- City
- Florissant
- State
- Missouri
- ZIP Code
- 63033-6737
- Phone
- (314) 215-9448
Authorized Official
- Name
- LACHELLE CHANEY
- Title
- OWER
- Phone
- (314) 215-9448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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