| NPI | 1366249567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABID NISAR Medical Director 314-546-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 251B00000X Case Management | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 291U00000X Clinical Medical Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |