# LILLY'S SENIOR SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073220380
- **Authorized official:** LILLY D BRISTER-LEWIS L1MA (OWNER)
- **Authorized official phone:** (314) 620-7905

## Contact information

- **Practice address:** 3470 HAMPTON AVE STE 101C, SAINT LOUIS, MO 63139-1936
- **Practice address phone:** (316) 659-8311
- **Mailing address:** 3470 HAMPTON AVE STE 101C, SAINT LOUIS, MO 63139-1936
- **Mailing address phone:** (316) 659-8311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2022
- **Last updated:** 02/01/2023