| NPI | 1285398024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN B SHELTON Owner 314-580-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management | |
| 364SL0600X Clinical Nurse Specialist, Long-Term Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |