| NPI | 1033649314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE BUCKNER Family Nurse Practioner 314-587-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-05-16 |