| NPI | 1265832182 |
|---|---|
| Former Legal Business Name | NEW LIFE HOME HEALTH CARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | KEITA L LATTIMORE Member/Manager 314-546-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: MO 251e00000x) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2016-12-30 |