Provider Demographics
NPI:1598205148
Name:BLESSINGS, COURAGE AND FAITH CDS
Entity Type:Organization
Organization Name:BLESSINGS, COURAGE AND FAITH CDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-738-3476
Mailing Address - Street 1:100 S 4TH ST
Mailing Address - Street 2:SUITE 550
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63102-1800
Mailing Address - Country:US
Mailing Address - Phone:314-879-7500
Mailing Address - Fax:314-797-5001
Practice Address - Street 1:100 S 4TH ST
Practice Address - Street 2:SUITE 550
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63102-1800
Practice Address - Country:US
Practice Address - Phone:314-879-7500
Practice Address - Fax:314-797-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care