NPI 1134797244
Prescription Consumer Directed Services LLC
Practice location
- Address
- 418 Ward Ave, Caruthersville, MO 63830-1451
- Phone
- (573) 333-0030
- Fax
- (573) 333-0023
Authorised official
- Name
- Shane Alan Dudley
- Title
- Owner
- Phone
- (573) 333-0030
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1134797244
- Entity type
- Organization
- NPI issued
- 15 Jun 2021
- Record last updated
- 15 Jun 2021
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.