| Organization Name: | AMERICAN CONSUMER DIRECTED SERVICES, L.L.C. |
| NPI Number: | 1104010081 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALFREDA P. SPENCER (DIRECTOR) |
| Mailing Address: | Rr 3, Box 2199 Doniphan |
| State: | MO US |
| Postal Code: | 63935 |
| Phone Number: | 5739962224 |
| Fax Number: | 5739962280 |
| NPI Enumeration Date: | 09/04/2007 |
| NPI Last Update Date: | 10/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |