| NPI | 1235480898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA ANNTRIONETTE JOHNSON Director 314-656-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO lc1214086) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |