Organization
ANGELS WITHIN CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN GREER (MANAGER)
(314) 280-5557
Entity
Organization
Contact information
Practice address
4108 W FLORISSANT AVE, SAINT LOUIS, MO 63115-3056
(314) 280-5557
(314) 869-5954
Mailing address
2536 PERSHALL RD, SAINT LOUIS, MO 63136-4527
(314) 280-5557
(314) 869-5954
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
305R00000X
MO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
305R00000X
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372500000X
—
MO
Enumeration date
08/24/2013
Last updated
01/18/2017
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