| 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 |