Organization
ALTERNATIVE CHOICES CONSUMER DIRECTED SVC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE LAKALE PENNINGTON ASSOCIATE DEGREE (PRESIDENT/CEO)
(314) 761-3838
Entity
Organization
Contact information
Practice address
1920 GREEN VALLEY DR, 1920 GREEN VALLEY DRIVE, SAINT LOUIS, MO 63136-3205
(314) 761-3838
(314) 869-3393
Mailing address
1920 GREEN VALLEY DR, 1920 GREEN VALLEY DRIVE, SAINT LOUIS, MO 63136-3205
(314) 761-3838
(314) 869-3393
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
B00436508
MO
Other
Enumeration date
11/18/2011
Last updated
05/02/2012
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