# ALTERNATIVE CHOICES CONSUMER DIRECTED SVC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548537590
- **Authorized official:** MS. JACQUELINE LAKALE PENNINGTON ASSOCIATE DEGREE (PRESIDENT/CEO)
- **Authorized official phone:** (314) 761-3838

## Contact information

- **Practice address:** 1920 GREEN VALLEY DR, 1920 GREEN VALLEY DRIVE, SAINT LOUIS, MO 63136-3205
- **Practice address phone:** (314) 761-3838
- **Practice address fax:** (314) 869-3393
- **Mailing address:** 1920 GREEN VALLEY DR, 1920 GREEN VALLEY DRIVE, SAINT LOUIS, MO 63136-3205
- **Mailing address phone:** (314) 761-3838
- **Mailing address fax:** (314) 869-3393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | B00436508 | MO | Yes |

## Other

- **Enumeration date:** 11/18/2011
- **Last updated:** 05/02/2012
