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Organization

ADVANCED CONSUMER DIRECTED SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANNE IVY (MEMBER)
(573) 748-5757
Entity
Organization

Contact information

Practice address
39 VILLA SHOPPING CTR, NEW MADRID, MO 63869-1230
(573) 748-5757
(573) 748-5382
Mailing address
PO BOX 487, NEW MADRID, MO 63869-0487
(573) 748-5757
(573) 748-5382

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
10/16/2012
Last updated
10/17/2012
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