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Organization
LIVING MY BEST LIFE CDS, LLC
Active
Organization
LIVING MY BEST LIFE CDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KSI PENNY (EXECUTIVE DIRECTOR)
(314) 695-4244
Entity
Organization
Contact information
Practice address
3004 S JEFFERSON AVE, SAINT LOUIS, MO 63118-1513
(314) 695-4244
Mailing address
3004 S JEFFERSON AVE, SAINT LOUIS, MO 63118-1513
(314) 695-4244
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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