Organization
A'MIRACLE CONSUMER DIRECTED SERVICE
Active
Other names
A'Miracle CDS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VENOLIA ANTIONETTE WEAVER (CEO/VENDOR)
(314) 649-7736
Entity
Organization
Contact information
Practice address
3161 A FEE FEE RD STE A, BRIDGETON, MO 63044
(314) 222-8137
(314) 222-3568
Mailing address
3161 A FEE FEE RD STE A, BRIDGETON, MO 63044
(314) 222-8137
(314) 222-3568
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
MO
Other
Enumeration date
03/06/2012
Last updated
07/21/2022
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