Provident Place Consumer Directed Services
Provident Place Consumer Directed Services is a Health Maintenance Organization in Saint Louis, Missouri. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1515 N Warson Rd Ste 241Saint Louis, MO 63132-1111
Phone: (314) 922-9841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X |
|---|
Record details
| NPI number | 1053859397 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Aigner Smith — Owner · (314) 922-9841 |
| NPI enumerated | February 7, 2017 |
| Last updated in NPPES | February 7, 2017 |
| Mailing address | 1515 N Warson Rd, Suite 241, Saint Louis, MO 63132-1111 |
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