Organization
LIVE WITH EASE CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA STOCKARD (DIRECTOR)
(314) 265-7369
Entity
Organization
Contact information
Practice address
12891 PENNRIDGE DR, BRIDGETON, MO 63044-1238
(314) 265-7369
Mailing address
12891 PENNRIDGE DR, BRIDGETON, MO 63044-1238
(314) 265-7369
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
12/17/2020
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