| NPI | 1154480283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON MANTIA Administrator 314-961-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |