NPI 1669891297 · live from the CMS NPI Registry
Abundant Care Consumer Direct Services LLC
Home Health in Saint Louis, MO. National Provider Identifier 1669891297, active.
NPI record
| NPI | 1669891297 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 1504 Park Way Dr, Saint Louis, MO 63130 |
| Practice phone | 314-449-4946 |
| Enumerated | April 10, 2014 |
| Last updated | April 10, 2014 |
| Authorized official | Shanda Bonner, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.