| NPI | 1043031032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA N BANKS Owner 314-906-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 372500000X Chore Provider |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |