| NPI | 1467104968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONISHA RUSSELL Managing Officer 314-818-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |