NPI | 1437681376 |
---|---|
Entity Type | Organization |
Authorized Contact | DEMETRICE A FULLER Executive Director 618-799-4958 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MO LC001529675) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2017-03-30 |