Organization · NPI-2

11:11 Cds LLC

Home Health · Saint Louis, MO

NPI number1699532903
StatusActive
Last updated in NPPESMar 4, 2024

Details

NPI
1699532903
Entity type
Organization (NPI-2)
Legal business name
11:11 Cds LLC
Organization subpart
No
Enumeration date
Mar 4, 2024
Certification date
Feb 24, 2024
Last updated
Mar 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

826 Union Blvd # 207
Saint Louis, MO 63108-1040

Phone 314-635-9500 · Fax 314-366-4973

Mailing address

1145 Riverview Blvd
Saint Louis, MO 63147-1706

Authorized official

Taneshia Dilworth
Founder
3144124199

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