Organization
COMPASSIONATE COMPANIONS SENIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENESHA BURLISON (CHIEF EXECUTIVE OFFICER)
(314) 642-9810
Entity
Organization
Contact information
Practice address
11628 OLD BALLAS RD, SAINT LOUIS, MO 63141-7030
(314) 296-3239
Mailing address
5462 TEDMAR CT, SAINT LOUIS, MO 63139-1552
(314) 642-9810
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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