| NPI | 1336457845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MARIE WARD Director 314-521-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: MO 895) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: MO 895) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |