| NPI | 1205280120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NICOLE ROSS Executive Director 314-814-2594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO LC9786208) |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2016-04-17 |