| NPI | 1215418546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN O ASEWE Executive Director 314-728-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2022-12-28 |