| NPI | 1255655254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LOUIS SCRUGGS Owner/Director 314-625-3652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MO 253Z00000X - In Home) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2012-04-10 |