| NPI | 1104178177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE IVY Member 573-748-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-16 |