| NPI | 1184277378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN RENEE HOLLAMON Executive Director 314-932-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-18 |