| NPI | 1023655198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEKIA LINDSAY President 618-580-4253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-12-07 |
| Last Update Date | 2023-02-06 |