Organization
CONSUMER DIRECTED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN SANDERS SR. (OWNER)
(314) 524-9386
Entity
Organization
Contact information
Practice address
6154 MADISON AVE, SAINT LOUIS, MO 63134-2104
(314) 524-9386
Mailing address
6154 MADISON AVE, SAINT LOUIS, MO 63134-2104
(314) 524-9386
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CMS13-0015
MO
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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