Organization
SINGLE SOURCE FOR SENIORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL DEAN (EXECUTIVE DIRECTOR)
(770) 280-5597
Entity
Organization
Contact information
Practice address
5572 CLEMENS PL, SUITE 2E, SAINT LOUIS, MO 63112-3059
(770) 280-5597
Mailing address
PO BOX 150447, SAINT LOUIS, MO 63115-8447
(770) 280-5597
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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