Organization
COMMUNITY WIDE CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY DEAN DAVIS SR. (PRESIDENT)
(573) 448-5520
Entity
Organization
Contact information
Practice address
104 LUNBECK AVE, GIDEON, MO 63848-9276
(573) 448-5520
Mailing address
104 LUNBECK AVE, GIDEON, MO 63848-9276
(573) 448-5520
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/03/2026
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