Organization
PERSONAL HOME CARE CDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA SMITH (MANAGER)
(314) 664-1100
Entity
Organization
Contact information
Practice address
100 S MARKET ST, STE 500, SAINT LOUIS, MO 63101
(314) 797-5066
(314) 797-5001
Mailing address
100 S MARKET ST, STE 500, SAINT LOUIS, MO 63102
(314) 797-5066
(314) 797-5001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
MO
Enumeration date
10/13/2015
Last updated
03/18/2016
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