| NPI | 1013361948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA WOODS Behavior Analyst 816-607-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 103K00000X) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |