| NPI | 1063955169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRONE L BEATTY Owner 314-497-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251K00000X Public Health or Welfare | |
| 251T00000X PACE Provider Organization | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |