| NPI | 1497291090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M REID ALLEN Owner 314-899-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: MO 305r00000x) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2022-11-17 |