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1871884627
LIVE INDEPENDENT CONSUMER DIRECT LLC
HAZELWOOD, MO
NPI
1871884627
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Entity Type
Organization
Authorized Contact
MAURY CLAY
Director/Owner
314-680-1976
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2011-04-27
Last Update Date
2011-04-27
Business Address
LIVE INDEPENDENT CONSUMER DIRECT LLC
320 BROOKES DR STE 203
HAZELWOOD, MO 63042-2740
Phone number: 314-680-1976
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Mailing Address
LIVE INDEPENDENT CONSUMER DIRECT LLC
320 BROOKES DR STE 203
HAZELWOOD, MO 63042-2740
Phone number: 314-680-1976
Copy
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