| NPI | 1114438835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DENISE BURGESS Owner 314-276-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2021-01-26 |