| NPI | 1093598872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDICE ECKFORD Owner 618-225-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251E00000X Home Health |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |