Organization
COVENANT CONSUMER DIRECTED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GELISA DEON HARRIS (DIRECTOR)
(314) 389-2001
Entity
Organization
Contact information
Practice address
6000 W FLORISSANT AVE, SAINT LOUIS, MO 63136-4930
(314) 389-2001
(314) 389-2005
Mailing address
6000 W FLORISSANT AVE, SAINT LOUIS, MO 63136-4930
(314) 389-2001
(314) 389-2005
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2532Z00000X
MO
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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