| NPI | 1174298483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNISIA WHITE Business Owner 314-246-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QP2000X Clinic/Center Physical Therapy | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |