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Organization
PROLIFIC CARE CONSUMER DIRECT SERVICES LLC
Active
Organization
PROLIFIC CARE CONSUMER DIRECT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEONNE HARRIS (EXECUTIVE DIRECTOR)
(636) 362-3539
Entity
Organization
Contact information
Practice address
1243 ADVANCE DR, FLORISSANT, MO 63031-1421
(636) 362-3539
Mailing address
1243 ADVANCE DR, FLORISSANT, MO 63031-1421
(636) 362-3539
(314) 834-7777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
06/26/2024
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