Organization
CROSS LOVE CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTECA NICOLE JOHNSON (MANAGER)
(314) 452-9091
Entity
Organization
Contact information
Practice address
6744 SCHOFIELD PL, SAINT LOUIS, MO 63133-1422
(314) 452-9091
Mailing address
7777 BONHOMME AVE STE 1800, SAINT LOUIS, MO 63105-1931
(314) 452-9091
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
03/25/2022
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