| NPI | 1033600697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY DOENICE CLAYTON Owner 314-971-6853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 2014004364) |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2018-05-19 |