| NPI | 1164801445 |
|---|---|
| Doing Business As | WOUND CARE ASSISTANCE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MYISA WHITLOCK Deputy Director 314-400-4051 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |