1St Assurance Consumer Direct Services, LLC

Organization Active NPI Home Health Agency · Saint Louis, MO

NPI 1215401203 · NPPES record last updated Jan 14, 2019

Key facts

NPI
1215401203
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
1ST ASSURANCE CONSUMER DIRECT SERVICES, LLC
Practice address
5057 Gravois Ave
Saint Louis, MO 63116-2342
Phone
(314) 390-0951
NPI assigned
Jan 14, 2019
Organization subpart
No

Authorized official

Name
Desola Nunley
Title
Owner
Phone
(314) 390-0951

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

5057 Gravois Ave
Saint Louis, MO 63116
Phone (314) 390-0951

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

5057 Gravois Ave
Saint Louis, MO 63116-2342

Mailing address

5057 Gravois Ave
Saint Louis, MO 63116-2342

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Home Health Agency in Missouri

Sources for this page

Verify at the official NPI Registry.