| NPI | 1053430090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN DIXSON Manager 314-385-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 372500000X Chore Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-04-24 |