| NPI | 1306432315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANICE BROWN Owner 636-515-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2025-01-02 |