| NPI | 1003460403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY WILSON Owner/ Manager 314-797-5297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2022-03-09 |