| NPI | 1124364609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY SHONTAY JACKSON Owner/COO 314-426-9319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2023-05-30 |