| NPI | 1033639414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR DEJUAN HARRIS Owner 314-484-0405 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2020-09-10 |