| NPI | 1104432095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANDRE BUCHANAN Member 314-769-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |