| NPI | 1477026110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHAUNA PARKER Director 314-391-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |