Organization
LIFE ENHANCEMENTS CDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA SHANISE WATSON (OWNER)
(314) 200-2399
Entity
Organization
Contact information
Practice address
4447 N HIGHWAY 67, FLORISSANT, MO 63034-2831
(314) 200-2899
Mailing address
4447 N HIGHWAY 67, FLORISSANT, MO 63034-2831
(314) 200-2899
(314) 202-7677
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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