| NPI | 1174189161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DECLUE Manager 573-438-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-21 |