| NPI | 1255723920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED YASIN BABAN Owner 314-665-9672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN 184922) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TN 184922) |
| 261QP0905X Clinic/Center, Public Health, State or Local (Licence: TN 184922) | |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |