Organization
HEARTLAND CONSUMER DIRECTED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE WALKER (EXECUTIVE DIRECTOR)
(314) 395-9758
Entity
Organization
Contact information
Practice address
8420 OLIVE BLVD, SAINT LOUIS, MO 63132-2816
(314) 395-9758
Mailing address
8420 OLIVE BLVD, SAINT LOUIS, MO 63132-2816
(314) 395-9758
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LC1236901
MO
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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