| NPI | 1124760186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINNIE TUCKER Owner/Manager 618-641-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2023-03-10 |