MEDICARE: RESPECT IS LOVE CDS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093283913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPECT IS LOVE CDS, LLC

Provider Business Mailing Address
First Line	:	8000 NOEL CT
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-1244
Country	:	US
Telephone Number	:	314-422-1743
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 NOEL CT
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-1244
Country	:	US
Telephone Number	:	314-422-1743
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. LATOYA HANLEY
Credential	:
Telephone Number	:	314-422-1743

Provider Enumeration Date	:	11/08/2018
Last Update Date	:	11/08/2018

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Directions to “RESPECT IS LOVE CDS, LLC ” Practice Location

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