| NPI | 1346653672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BENTON-BLACK Physical Therapist 573-883-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MO 2001021506) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2015-05-22 |