| NPI | 1457810269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSIE MCKINNEY Director Of Operations 314-315-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 174200000X |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |