NPI 1861830093

Devine Care Consumer Direct Services,llc

Organisation Adult Care Home Facility Florissant, MO

Practice location

Address: 3236 Parker Rd, Florissant, MO 63033-3733
Phone: (314) 856-9393
Fax: (314) 856-9677

Authorised official

Name: Folasade Ayinmodu
Title: Director
Phone: (314) 323-9426

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 842 (MO)

Other Custodial Care Facility providers in Missouri →

Registry record

NPI: 1861830093
Entity type: Organization
NPI issued: 10 Jun 2013
Record last updated: 10 Jun 2013

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.