MEDICARE: ALL ABOUT CARE CONSUMER DIRECTED SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1750708194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ABOUT CARE CONSUMER DIRECTED SERVICES, LLC

Provider Business Mailing Address
First Line	:	3636 S GEYER RD STE 100
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63127-1237
Country	:	US
Telephone Number	:	314-238-7320
Fax Number	:	314-238-7201

Provider Business Practice Location Address
First Line	:	3636 S GEYER RD STE 100
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63127-1237
Country	:	US
Telephone Number	:	314-238-7320
Fax Number	:	314-238-7201

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KELLIE MURRAY
Credential	:
Telephone Number	:	314-238-7320

Provider Enumeration Date	:	03/24/2014
Last Update Date	:	03/24/2014

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