| NPI | 1427104082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA JORGENSEN Certified Manager 417-256-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-07-31 |