Organization
LIVING ESSENTIALS CONSUMER DIRECTED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENEISHIA CHAVON ELIJAH (DIRECTOR/OWNER)
(314) 736-4275
Entity
Organization
Contact information
Practice address
1515 N WARSON RD, SUITE 116, SAINT LOUIS, MO 63132-1111
(314) 736-4275
(314) 260-6781
Mailing address
1515 N WARSON RD, SUITE 116, SAINT LOUIS, MO 63132-1111
(314) 736-4275
(314) 260-6781
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
04/15/2014
Last updated
04/25/2014
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