| NPI | 1043851694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTECA NICOLE JOHNSON Manager 314-504-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2026-08-24 |