Organization
POLK CONSUMER DIRECTED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RIKKISHA POLK (OWNER/DIRECTOR)
(314) 517-7192
Entity
Organization
Contact information
Practice address
3430 MCKELVEY RD STE L, BRIDGETON, MO 63044-2556
(314) 517-7192
(314) 985-5833
Mailing address
3430 MCKELVEY RD STE L, BRIDGETON, MO 63044-2556
(314) 517-7192
(314) 985-5833
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/11/2020
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