| NPI | 1114379252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STORMI L NORDSTROM Director Of Operations 417-659-8086 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 372500000X Chore Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2023-04-19 |