| NPI | 1144543190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES AE BENNETT Owner 314-867-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MO 026190) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |