| NPI | 1326370107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA PORTER Credentialing Manager 660-890-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MO 012098) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2019-01-24 |