| NPI | 1003305574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RAY WHITE Owner 314-532-9361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: MO 25071459) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |