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Organization

DIAMOND CONSUMER DIRECTED SERVICES, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZELINE WILLIAMS (PRESIDENT)
(314) 587-6539
Entity
Organization

Contact information

Practice address
1106 BORDEN DR, FLORISSANT, MO 63031-1302
(314) 587-6539
Mailing address
1106 BORDEN DR, FLORISSANT, MO 63031-1302
(314) 587-6539
(314) 741-3994

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MEDICAD
MO
Enumeration date
08/18/2015
Last updated
08/18/2015
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