| NPI | 1407234636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAPORTCIA L BOLDEN Owner/Manager 314-556-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO lc001418771) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |