Organization
DE'VINE CONNECTIONS LLC
Active
Parent organization
DE'VINE CONNECTIONS LLC
Other names
De'Vine Connections LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DE'VINE CONNECTIONS LLC
Authorized official
IDA GLENN (OWNER)
(314) 685-6285
Entity
Organization
Contact information
Practice address
5272 SIR BORS DR, SAINT LOUIS, MO 63129-1413
(314) 685-6285
Mailing address
5272 SIR BORS DR, SAINT LOUIS, MO 63129-1413
(314) 685-6285
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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