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1902319106
A'MIRACLE CONSUMER DIRECTED SERVICE
BRIDGETON, MO
NPI
1902319106
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Entity Type
Organization
Authorized Contact
VENOLIA ANTIONETTE THOMAS
CEO/Vendor
314-649-7736
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2017-11-09
Last Update Date
2020-03-20
Business Address
A'MIRACLE CONSUMER DIRECTED SERVICE
3159 FEE FEE RD STE 215
BRIDGETON, MO 63044-3299
Phone number: 314-649-7736
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Mailing Address
A'MIRACLE CONSUMER DIRECTED SERVICE
3161 FEE FEE RD STE A
BRIDGETON, MO 63044-3206
Phone number: 314-649-7736
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