Organization
ADULT VISIONARY CONSUMER DIRECTED SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA LOUISE WILDER (CEO)
(314) 329-8707
Entity
Organization
Contact information
Practice address
7220 N LINDBERGH BLVD, 390, HAZELWOOD, MO 63042-2019
(314) 329-8707
(888) 524-2973
Mailing address
7220 N LINDBERGH BLVD, 390, HAZELWOOD, MO 63042-2019
(314) 329-8707
(888) 524-2973
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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