| NPI | 1316104201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWANICE L. MITCHELL Director 314-565-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MO B00173634) |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care (Licence: MO B00173634) | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2018-12-04 |