| NPI | 1104580620 |
|---|---|
| Former Legal Business Name | A ZENFUL EXPERIENCE HOME HEALTH CARE LLC |
| Entity Type | Organization |
| Authorized Contact | EVERLENA MACK Director 314-478-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-10-30 |
| Last Update Date | 2021-10-30 |