Organization
DEVINE HEALTH CONSUMER DIRECTED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNETTA COLLARD (OWNER)
(314) 221-3495
Entity
Organization
Contact information
Practice address
12405 OLD HALLS FERRY RD # 325, BLACK JACK, MO 63033-4204
(314) 221-3495
(615) 541-3381
Mailing address
844 CARSON RD, SAINT LOUIS, MO 63135-2349
(314) 221-3495
(615) 541-3381
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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