Organization
ABUNDANT CARE CONSUMER DIRECT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDA BONNER (DIRECTOR)
(314) 449-4946
Entity
Organization
Contact information
Practice address
1504 PARK WAY DR, SAINT LOUIS, MO 63130-1245
(314) 449-4946
Mailing address
1504 PARK WAY DR, SAINT LOUIS, MO 63130-1245
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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