NPI | 1285398024 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIAN B SHELTON Owner 314-580-3029 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251B00000X Case Management | |
311ZA0620X Custodial Care Facility, Adult Care Home | |
364SL0600X Clinical Nurse Specialist, Long-Term Care | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2021-10-27 |
Last Update Date | 2025-01-03 |