SUPPORT INDEPENDENCE LLC

FLORISSANT, MO
NPI1982065454
Entity TypeOrganization
Authorized ContactTIMOTHY SHONTEZ MACON
CEO/Owner
314-504-1459
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2016-03-11
Last Update Date2016-03-11
Business Address
SUPPORT INDEPENDENCE LLC
625 LOYOLA DR
FLORISSANT, MO 63031-7231
Phone number: 314-504-1459
Mailing Address
SUPPORT INDEPENDENCE LLC
625 LOYOLA DR
FLORISSANT, MO 63031-7231
Phone number: 314-504-1459
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