NPI 1174076343 · live from the CMS NPI Registry
A Different World Consumer Direct Services LLC
In Home Supportive Care in Ferguson, MO. National Provider Identifier 1174076343, active.
NPI record
| NPI | 1174076343 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 111 Church St, Suite 104-105, Ferguson, MO 63135 |
| Practice phone | 314-736-1388 |
| Enumerated | July 25, 2016 |
| Last updated | July 25, 2016 |
| Authorized official | Danyelle Nelson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.