PROVIDENT PLACE CONSUMER DIRECTED SERVICES

SAINT LOUIS, MO
NPI1053859397
Entity TypeOrganization
Authorized ContactAIGNER R SMITH
Owner
314-922-9841
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2017-02-07
Last Update Date2017-02-07
Business Address
PROVIDENT PLACE CONSUMER DIRECTED SERVICES
1515 N WARSON RD SUITE 241
SAINT LOUIS, MO 63132-1111
Phone number: 314-922-9841
Mailing Address
PROVIDENT PLACE CONSUMER DIRECTED SERVICES
1515 N WARSON RD SUITE 241
SAINT LOUIS, MO 63132-1111
Phone number: 314-922-9841
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