Organization
ALTERNATIVE CARE COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE LUSTER (PRESIDENT)
(314) 324-5910
Entity
Organization
Contact information
Practice address
718 BENVENUE DR, SAINT LOUIS, MO 63137-4300
(314) 324-5910
Mailing address
718 BENVENUE DR, SAINT LOUIS, MO 63137-4300
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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