| NPI | 1134708282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER AUSTIN Owner 618-799-7314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 291U00000X Clinical Medical Laboratory | |
| 251E00000X Home Health | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2022-05-02 |