| NPI | 1245654961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TARESS BOLDEN Director 314-437-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MO LC1357020) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |