| NPI | 1366031213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHONDA L WILLIS Owner 314-323-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2023-10-24 |