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Organization

BLESSED TO SERVE CDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LATOSHA PAACK (OWNER)
(314) 749-1293
Entity
Organization

Contact information

Practice address
5117 LOTUS AVE, SAINT LOUIS, MO 63113-1127
(314) 749-1293
Mailing address
5117 LOTUS AVE, SAINT LOUIS, MO 63113-1127
(314) 749-1293

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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