| NPI | 1053731620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON JIMMERSON Owner 314-536-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2020-01-08 |