Organization
GOLDEN LIFE CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA ROBINSON (DIRECTOR)
(314) 571-4005
Entity
Organization
Contact information
Practice address
2620 HODIAMONT AVE FL 1, SAINT LOUIS, MO 63112-3608
(314) 571-4005
(314) 571-4005
Mailing address
2620 HODIAMONT AVE FL 1, SAINT LOUIS, MO 63112-3608
(314) 571-4005
(314) 571-4005
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/15/2015
Last updated
08/15/2015
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