Organization
A DIFFERENT WORLD CONSUMER DIRECT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYELLE NICOLE NELSON (OWNER)
(314) 482-7065
Entity
Organization
Contact information
Practice address
111 CHURCH ST, SUITE 104-105, FERGUSON, MO 63135-2441
(314) 736-1388
Mailing address
111 CHURCH ST, SUITE 104-105, FERGUSON, MO 63135
(314) 736-1388
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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