| NPI | 1487216909 |
|---|---|
| Doing Business As | LATTIMORE'S HOME CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | KEITA L LATTIMORE CEO/Owner 314-395-2440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251T00000X PACE Provider Organization | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2021-09-15 |