| NPI | 1366629974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MOHAMED DIRIR Designated Manager 314-646-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 0009547) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MO 0009547) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-09-15 |