Organization
OVERFLOW CONSUMER DIRECTED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERREE SHELONDIA MAXWELL (DIRECTOR)
(314) 276-8695
Entity
Organization
Contact information
Practice address
1600 HERITAGE LNDG, SUITE 212-C, SAINT PETERS, MO 63303-8489
(314) 276-8695
(314) 428-3577
Mailing address
1600 HERITAGE LNDG, SUITE 212-C, SAINT PETERS, MO 63303-8489
(314) 276-8695
(314) 428-3577
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10103
MO
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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