# MERCYONE CDS HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1154921393
- **Authorized official:** ANTHONY JEROME DUDLEY JR. (DESIGNATED MANAGER)
- **Authorized official phone:** (314) 934-2131

## Contact information

- **Practice address:** 231 S BEMISTON AVE, CLAYTON, MO 63105-1988
- **Practice address phone:** (314) 934-2131
- **Mailing address:** 231 S BEMISTON AVE, CLAYTON, MO 63105-1988
- **Mailing address phone:** (314) 934-2131

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2020
- **Last updated:** 10/27/2020