| NPI | 1336674258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH STITH Owner/Operator 636-449-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MO 101659) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |