Organization
HORIZON CDS NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MESHELL SHARANE WILSON (OWNER/DIRECTOR)
(314) 761-4805
Entity
Organization
Contact information
Practice address
1655 CELERITY DR, FLORISSANT, MO 63031-8810
(314) 761-4805
Mailing address
1655 CELERITY DR, FLORISSANT, MO 63031-8810
(314) 761-4805
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/29/2016
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