| NPI | 1215936588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA BURSAK Administrator 314-726-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 755) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 609) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 266633) | |
| 251E00000X Home Health (Licence: IL 1010588) | |
| 251J00000X Nursing Care (Licence: MO 265855403) | |
| 385H00000X Respite Care (Licence: MO 285855409) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: MO 266633) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2010-09-20 |