| NPI | 1407220080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE CRIDDLE Member 314-518-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO LC001467109) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |