Organization
GRACE CONSUMER DIRECTED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOY KATINA BLAIR (DIRECTOR)
(314) 552-1604
Entity
Organization
Contact information
Practice address
1600 HERITAGE LNDG STE 202A, SAINT PETERS, MO 63303-8488
(314) 552-1604
Mailing address
1600 HERITAGE LNDG STE 202A, SAINT PETERS, MO 63303-8488
(314) 552-1604
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
MO
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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