| NPI | 1306287628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNESHAE MONIQUE FORLAND Owner/Administrator/Financial Offic 314-524-3958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2019-11-14 |