| NPI | 1326417742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYO ABIMBOLLA BISHI Director 573-808-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |