| 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 |