| NPI | 1306277652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAMIKA A WALLS Director 314-478-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MO 000090) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |