| NPI | 1316743404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY ROGERS Owner 618-895-8317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-11-04 |