Organization
PLATINUM CONSUMER DIRECRED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKILAH D PENNY (OWNER)
(314) 497-6448
Entity
Organization
Contact information
Practice address
11875 NERO DR, FLORISSANT, MO 63033-6913
(314) 921-1109
(314) 921-1266
Mailing address
11875 NERO DR, FLORISSANT, MO 63033-6913
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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