| NPI | 1194539064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ODOM Owner/Director 618-218-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |