Organization
MI AMOR CDS LLC
Active
Parent organization
MI AMOR CDS - 2
Other names
Mi Amor CDS - 2, Mi Amor CDS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MI AMOR CDS - 2
Authorized official
BRYANT DAVIS (OWNER)
(314) 750-6612
Entity
Organization
Contact information
Practice address
2200 W PORT PLAZA DR STE 300, SAINT LOUIS, MO 63146-3211
(314) 750-6612
Mailing address
2200 W PORT PLAZA DR STE 300, SAINT LOUIS, MO 63146-3211
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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