| NPI | 1376281519 |
|---|---|
| Doing Business As | 1ST HOME AWAY FROM HOME IHS LLC |
| Entity Type | Organization |
| Authorized Contact | LAWANDA GUESRT Director 314-479-1673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |