Organization
CHOICE CONSUMER DIRECTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSLYN SMITH (EXECUTIVE DIRECTOR)
(314) 261-4662
Entity
Organization
Contact information
Practice address
3925 WASHIONGTON BLVD, SAINT LOUIS, MO 63108
(314) 450-0337
Mailing address
3925 WASHIONGTON BLVD, SAINT LOUIS, MO 63108
(314) 450-0337
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
01/28/2021
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