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Organization

B&J CONSUMER DIRECTED SERVICE, LLC

Active
Other names
Chosen Path
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN WILLIAMS (DIRECTOR)
(314) 741-0955
Entity
Organization

Contact information

Practice address
9443-9445 LACKLAND RD, OVERLAND, MO 63114-3633
(314) 741-0955
(314) 741-0955
Mailing address
9443 LACKLAND RD, OVERLAND, MO 63114-3633
(314) 741-0955
(314) 741-0955

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
10/11/2022
Last updated
10/20/2022
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