| NPI | 1144761313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTAY RENEE CHARLESTON Director 314-899-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO LC001492224) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |