Organization
PURE LOVE CDS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAI LEVENBERRY (EXC DIRECTOR)
(636) 368-7266
Entity
Organization
Contact information
Practice address
9319 MIDLAND BLVD STE C, SAINT LOUIS, MO 63114-5459
(636) 306-3622
(636) 203-4435
Mailing address
9319 MIDLAND BLVD STE C, SAINT LOUIS, MO 63114-5459
(636) 306-3622
(636) 203-4435
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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