# 11:11 CDS LLC

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

## Provider details

- **NPI number:** 1699532903
- **Authorized official:** TANESHIA DILWORTH (FOUNDER)
- **Authorized official phone:** (314) 412-4199

## Contact information

- **Practice address:** 826 UNION BLVD \# 207, SAINT LOUIS, MO 63108-1040
- **Practice address phone:** (314) 635-9500
- **Practice address fax:** (314) 366-4973
- **Mailing address:** 1145 RIVERVIEW BLVD, SAINT LOUIS, MO 63147-1706

## Taxonomy

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

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 03/04/2024