NPI 1821540212

Diversified Support Services, LLC

Organisation Respite Care Saint Louis, MO

Practice location

Address: 3910 Kingsland CT # 2f, Saint Louis, MO 63116-4432
Phone: (314) 297-8656
Fax: (314) 297-8656

Authorised official

Name: Angie M Wyatt
Title: Owner
Phone: (314) 297-8656

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence LC001486661 (MO)

Other Respite Care providers in Missouri →

Registry record

NPI: 1821540212
Entity type: Organization
NPI issued: 1 Nov 2016
Record last updated: 1 Nov 2016

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.