| NPI | 1346840360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DENISE COX Director 314-550-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |