Organization
PELICAN VALLEY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY N NELSON (EXECUTIVE DIRECTOR)
(636) 466-6539
Entity
Organization
Contact information
Practice address
2632 BRECKENRIDGE CIR, O FALLON, MO 63368-6669
(636) 466-6539
Mailing address
2632 BRECKENRIDGE CIR, O FALLON, MO 63368-6669
(636) 466-6539
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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