Organization
ACE VALLEY CONSUMER DIRECT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LESTER HARRIS JR. (EXECUTIVE DIRECTOR)
(314) 276-7699
Entity
Organization
Contact information
Practice address
4554 RICHMOND FOREST DR, FLORISSANT, MO 63034-2849
(314) 276-7699
Mailing address
4554 RICHMOND FOREST DR, FLORISSANT, MO 63034-2849
(314) 276-7699
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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