Organization
ADELLA CONSUMER DIRECTED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN PARK (MANAGER)
(425) 772-5947
Entity
Organization
Contact information
Practice address
1300 HAMPTON AVE, 109, SAINT LOUIS, MO 63139-3138
(425) 772-5947
Mailing address
1300 HAMPTON AVE, 109, SAINT LOUIS, MO 63139-3138
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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