Organization
AMAZINE COSUMER DIRECTED SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA WHITFIELD (DIRECTOR)
(314) 653-3255
Entity
Organization
Contact information
Practice address
224 CASCADES DR, SAINT CHARLES, MO 63303-2148
(314) 653-3255
Mailing address
224 CASCADES DR, SAINT CHARLES, MO 63303-2148
(314) 653-3255
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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