Organization
LILLY'S SENIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLY D BRISTER-LEWIS L1MA (OWNER)
(314) 620-7905
Entity
Organization
Contact information
Practice address
3470 HAMPTON AVE STE 101C, SAINT LOUIS, MO 63139-1936
(316) 659-8311
Mailing address
3470 HAMPTON AVE STE 101C, SAINT LOUIS, MO 63139-1936
(316) 659-8311
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
02/01/2023
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