Organization
MEDICAL CDS HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINE WILEY (DIRECTOR)
(314) 521-0030
Entity
Organization
Contact information
Practice address
9191 W FLORISSANT AVE STE 216, SAINT LOUIS, MO 63136-1424
(314) 521-0030
Mailing address
9191 W FLORISSANT AVE STE 216, SAINT LOUIS, MO 63136-1424
(314) 521-0030
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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