# LIVING WELL CDS SERVICES LLC

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

## Provider details

- **NPI number:** 1811878135
- **Authorized official:** TAISHAI STARKS (ADMNISTRATOR)
- **Authorized official phone:** (314) 283-9230

## Contact information

- **Practice address:** 904 S 4TH ST \# 908, SAINT LOUIS, MO 63102-1607
- **Practice address phone:** (314) 283-9230
- **Mailing address:** 9 SEA PINES CT, O FALLON, MO 63368-6687
- **Mailing address phone:** (314) 283-9230

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2025
- **Last updated:** 09/11/2025