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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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