| NPI | 1245777838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINERVA ANN COOK Director 314-741-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-02-17 |