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Grandma's Angels Consumer Directed Services Llc
Home Health Agency in Black Jack, Missouri
NPI 1720468770

Grandma's Angels Consumer Directed Services Llc is a Home Health Agency based in Black Jack, MO. Grandma's Angels Consumer Directed Services Llc practices in Black Jack, MO. The NPI Number for Grandma's Angels Consumer Directed Services Llc is 1720468770 and holds a License No. 253Z00000X (Missouri).

The current practice location address for Grandma's Angels Consumer Directed Services Llc is 13132 Northview Heights Ct, Black Jack, MO and can be reached out via phone at 314-435-0009.

Location: 13132 Northview Heights Ct, Black Jack, MO, 63033-4564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720468770
Provider Name
Grandma's Angels Consumer Directed Services Llc
Credential
Provider Entity Type
Organization
Address
13132 Northview Heights Ct, Black Jack, MO, 63033-4564
Phone Number
314-435-0009
Fax Number
Provider Enumeration Date
06/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13132 Northview Heights Ct
City
Black Jack
State
Missouri
Zip
63033-4564
Phone Number
314-435-0009
Fax Number
person
Provider Business Mailing Address Details
Address
13132 Northview Heights Ct
City
Black Jack
State
Missouri
Zip
63033-4564
Phone Number
314-435-0009
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
253Z00000X (Missouri)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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