| NPI | 1194433144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMINE WHITING Owner/Executive Director 314-637-0652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372500000X Chore Provider |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |