| NPI | 1104351246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNICE NICOLE SHELTON Administrator/Owner 314-659-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TX 018509) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-09-19 |