| NPI | 1396420204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MICHELLE DAVIS Owner 314-280-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |