NPI | 1063998276 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS EVERTT BLAKE Owner 314-243-6745 |
Organization Subpart ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
Additional Taxonomies | 251E00000X Home Health |
253Z00000X In Home Supportive Care | |
374U00000X Home Health Aide | |
Enumeration Date | 2018-07-11 |
Last Update Date | 2022-02-14 |