Organization
FIRST MIDWEST CONSUMER DIRECTED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK R WILLIAMS JD (EXECUTIVE DIRECTOR)
(314) 677-0394
Entity
Organization
Contact information
Practice address
7733 FORSYTH BLVD FL 11, CLAYTON, MO 63105-1878
(314) 296-6199
(314) 754-9591
Mailing address
7733 FORSYTH BLVD FL 11, CLAYTON, MO 63105-1878
(314) 296-6199
(314) 754-9591
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/04/2017
Last updated
03/04/2017
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