| NPI | 1104123470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA J MOORE Office Manager 314-371-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MO LC9641631) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: MO LC9641631) |
| 372600000X Adult Companion (Licence: MO LC9641631) | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |