| NPI | 1033671417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBREKA EBONY GREEN Manager 314-250-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-07-17 |