# FOREVER YOUNG HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOREVER YOUNG HEALTH SERVICES LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477321628
- **Authorized official:** KEANDRA SPOTTSVILLE (DIRECTOR)
- **Authorized official phone:** (314) 642-8508

## Contact information

- **Practice address:** 307 GAGE DR, SAINT LOUIS, MO 63135-3039
- **Practice address phone:** (314) 642-8508
- **Mailing address:** 307 GAGE DR, SAINT LOUIS, MO 63135-3039
- **Mailing address phone:** (314) 642-8508

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2023
- **Last updated:** 12/18/2023