Organization
ESSENTIAL PEARL CONSUMER DIRECTED SERVICES LLC
Active
Other names
Essential Pearl CDS
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD L COLEMAN (EXECUTIVE DIRECTOR)
(314) 456-0171
Entity
Organization
Contact information
Practice address
3931 GREER AVE, SAINT LOUIS, MO 63107-2112
(314) 456-0171
Mailing address
3931 GREER AVE, SAINT LOUIS, MO 63107-2112
(314) 456-0171
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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