NPI | 1194975326 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN P BOSEN CEO 314-282-2957 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
376J00000X Homemaker | |
Enumeration Date | 2008-09-24 |
Last Update Date | 2023-06-13 |