Organization
1ST ASSURANCE CONSUMER DIRECT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESOLA NUNLEY (OWNER)
(314) 390-0951
Entity
Organization
Contact information
Practice address
5057 GRAVOIS AVE, SAINT LOUIS, MO 63116-2342
(314) 390-0951
Mailing address
5057 GRAVOIS AVE, SAINT LOUIS, MO 63116-2342
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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