Organization
LIVING WELL CONSUMER DIRECTED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL LAREL SANDERSON (OWNER)
(314) 368-4003
Entity
Organization
Contact information
Practice address
12082 WESMEADE DR, MARYLAND HEIGHTS, MO 63043-4155
(314) 368-4003
(314) 228-0099
Mailing address
12082 WESMEADE DR, MARYLAND HEIGHTS, MO 63043-4155
(314) 368-4003
(314) 228-0099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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