Organization
LIVING LIFE LONG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRONE L BEATTY (OWNER)
(314) 497-5284
Entity
Organization
Contact information
Practice address
303 UNION BLVD, SUITE 300, SAINT LOUIS, MO 63108-4400
(314) 497-5284
Mailing address
303 UNION BLVD, SUITE 300, SAINT LOUIS, MO 63108-4400
(314) 497-5284
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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