Organization
SUPPORTIVE LIVING CONSUMER DIRECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACHELLE CHANEY (OWER)
(314) 215-9448
Entity
Organization
Contact information
Practice address
4015 SEVEN HILLS DR, FLORISSANT, MO 63033-6737
(314) 215-9448
Mailing address
4015 SEVEN HILLS DR, FLORISSANT, MO 63033-6737
(314) 215-9448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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