| NPI | 1184200800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE WADE Owner 314-482-1731 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |