NPI | 1457797466 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE MAHONEY Manager 314-504-1952 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 302R00000X Health Maintenance Organization |
305R00000X Preferred Provider Organization | |
Enumeration Date | 2013-05-16 |
Last Update Date | 2023-03-24 |