Organization
ABUNDANT LIVING CONSUMER DIRECTED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY GREEN (CEO)
(314) 951-4042
Entity
Organization
Contact information
Practice address
2730 VALLEY BROOK DR, FLORISSANT, MO 63031-1985
(314) 265-0373
(314) 830-1601
Mailing address
2730 VALLEY BROOK DR, FLORISSANT, MO 63031-1985
(314) 265-0373
(314) 830-1601
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC001419437
MO
Other
Enumeration date
02/25/2015
Last updated
08/31/2015
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