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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANDMA'S ANGELS CONSUMER DIRECTED SERVICES LLC

Active Organization

GRANDMA'S ANGELS CONSUMER DIRECTED SERVICES LLC is a Home Health organization located in BLACK JACK, Missouri. NPI 1720468770 is currently active in the NPPES registry. Verify at CMS.

Home Health · BLACK JACK, MO

Registration Details

NPI Number
1720468770
Provider Type
Organization
NPI Issued
Jun 4, 2015 (11.206004410148 yrs)
Last Updated
Jun 4, 2015
License
253Z00000X (MO)

Practice Information

Address
13132 NORTHVIEW HEIGHTS CT
BLACK JACK, MO, 630334564
Browse MO providers · Browse ZIP 63033
Phone
3144350009
Primary Specialty
Home Health
251E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.