Organization
BEST LIFE CDS LLC
Active
Other names
Best Life CDS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE HENDRICKS (EXECUTIVE DIRECTOR)
(314) 853-9312
Entity
Organization
Contact information
Practice address
4780 TREES EDGE LN, BLACK JACK, MO 63033-4574
(314) 853-9312
(314) 656-1535
Mailing address
4780 TREES EDGE LN, BLACK JACK, MO 63033-4574
(314) 853-9312
(314) 656-1535
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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