| NPI | 1437029147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADA DEVON GARDNER Director/Owner 314-778-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |