| NPI | 1114204781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA V DAVYDENKO General Manager 314-872-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MO LC1132839) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |