Senior Source Cds LLC

NPI #1780151340 in Clayton, Missouri

Provider Information

NPI Number: 1780151340
Entity Type: Organization
Organization Name: Senior Source Cds LLC
Primary Specialty: Home Health
Enumeration Date: Oct 31, 2018
Last Updated: May 23, 2025

Practice Location

Address: 7733 FORSYTH BLVD STE 1106
City: Clayton
State: Missouri
ZIP Code: 63105-1817
Phone: (314) 296-6005

Authorized Official

Name: MS. SHAMIKKA CARLSON
Title: EXECUTIVE DIRECTOR
Phone: (314) 709-3976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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