| NPI | 1043867112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE VAUGHN Executive Director 618-457-3318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |