Organization
MH CONSUMER DIRECTED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH HALL (DIRECTOR)
(314) 203-1038
Entity
Organization
Contact information
Practice address
3159 FEE FEE RD STE 204, BRIDGETON, MO 63044-3299
(314) 203-1038
Mailing address
3159 FEE FEE RD STE 204, BRIDGETON, MO 63044-3299
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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