| NPI | 1427429232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE BOLDEN Executive Director 314-498-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2025-07-29 |