| NPI | 1396374385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MAGDALENE ADOU GBOUGBO Owner 314-814-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 174200000X | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-07-08 |