| NPI | 1104473750 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | ADRIENNE RENEE HARRIS Owner 314-397-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |