Organization
RELIANT CONSUMER DIRECTED SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN STEPHENS (OWNER/MANAGER)
(336) 307-1964
Entity
Organization
Contact information
Practice address
205 HENQUIN DR, FERGUSON, MO 63135-1840
(336) 307-1964
Mailing address
205 HENQUIN DR, FERGUSON, MO 63135-1840
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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