| NPI | 1235759770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY COLLINS Director Of Nursing 618-530-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |