Healthcare Provider Details

I. General information

NPI: 1861855306
Provider Name (Legal Business Name): R & R CDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 04/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2061 EXCHANGE DR SUITE 102
SAINT CHARLES MO
63303-5987
US

IV. Provider business mailing address

2061 EXCHANGE DR. SUITE 102
ST. CHARLES MO
63303
US

V. Phone/Fax

Practice location:
  • Phone: 636-688-7373
  • Fax:
Mailing address:
  • Phone: 636-688-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD RIVERS JR.
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 314-322-6112