| NPI | 1124220504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BRADLEY Vice President 314-496-6536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |