NPI 1003169012
Advanced Consumer Directed Services, LLC
Practice location
- Address
- 39 Villa Shopping Ctr, New Madrid, MO 63869-1230
- Phone
- (573) 748-5757
- Fax
- (573) 748-5382
- Mailing address
- PO Box 487, New Madrid, MO 63869-0487
Authorised official
- Name
- Dianne Ivy
- Title
- Member
- Phone
- (573) 748-5757
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1003169012
- Entity type
- Organization
- NPI issued
- 16 Oct 2012
- Record last updated
- 17 Oct 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.