| NPI | 1396095089 |
|---|---|
| Doing Business As | RODERICK WILSON |
| Entity Type | Organization |
| Authorized Contact | RODERICK STUART WILSON Fireman 314-574-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 193200000X) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |