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Organization

GENESIS CONSUMER DIRECTED SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE HOBBS WATSON (PRESIDENT)
(314) 521-2231
Entity
Organization

Contact information

Practice address
13080 NEW HALLS FERRY RD, FLORISSANT, MO 63033-3237
(314) 521-2237
(314) 665-3052
Mailing address
13080 NEW HALLS FERRY RD, FLORISSANT, MO 63033-3237
(314) 521-2237
(314) 665-3052

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
09/02/2021
Last updated
09/02/2021
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