| NPI | 1215683537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MARIE SMITH Owner 314-749-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |