| NPI | 1013766120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL TATE CEO 314-704-3785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |