Organization
CARE FOR LIFE CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN WIGGINS SR. (MANAGER)
(314) 495-0619
Entity
Organization
Contact information
Practice address
12891 PENNRIDGE DR, BRIDGETON, MO 63044-1238
(314) 495-0619
Mailing address
12891 PENNRIDGE DR, BRIDGETON, MO 63044-1238
(314) 495-0619
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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