| NPI | 1386992832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA WINBUSH Manager 314-921-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2015-04-27 |