| NPI | 1285038935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE JO DELORES CRANE Secretary/Manager 573-614-5886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2016-12-22 |