Organization
11:11 CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESHIA DILWORTH (FOUNDER)
(314) 412-4199
Entity
Organization
Contact information
Practice address
826 UNION BLVD # 207, SAINT LOUIS, MO 63108-1040
(314) 635-9500
(314) 366-4973
Mailing address
1145 RIVERVIEW BLVD, SAINT LOUIS, MO 63147-1706
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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