| NPI | 1306432315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANICE BROWN Owner 636-515-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2024-09-10 |