| NPI | 1104114065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIYA ZHURAVLYOVA Manager 618-541-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MO 253Z0000X) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |