Provider Demographics
NPI:1972998797
Name:ARCH WAY CONSUMER DIRECTED SERVICES, LLC
Entity Type:Organization
Organization Name:ARCH WAY CONSUMER DIRECTED SERVICES, LLC
Other - Org Name:ARCH WAY CONSUMER DIRECTED SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAISHAI
Authorized Official - Middle Name:M
Authorized Official - Last Name:STARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-283-9230
Mailing Address - Street 1:12131 DORSETT RD STE 218
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-2418
Mailing Address - Country:US
Mailing Address - Phone:314-283-9230
Mailing Address - Fax:
Practice Address - Street 1:12131 DORSETT RD STE 218
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-2418
Practice Address - Country:US
Practice Address - Phone:314-283-9230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care