| NPI | 1326327024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DE SHA Owner/Manager 314-803-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |