OrganizationActive
Abundant Living Consumer Directed Services LLC
NPI 1164814240 · Home Health Agency · Florissant, MO
Provider details
- NPI number
- 1164814240
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Betty Green, Ceo(314) 951-4042
- License
- LC001419437 (MO)
Specialties & taxonomies
Agencies
Practice location
2730 Valley Brook Dr
Florissant, MO 63031-1985
Phone: (314) 265-0373
Fax: (314) 830-1601
Approximate (ZIP-level) locationGet directions
Mailing address
2730 Valley Brook Dr
Florissant, MO 63031-1985
Registry dates
- Enumerated
- 2015-02-25
- Last updated
- 2015-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.