| NPI | 1497411847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHAD J PREVILLON CEO 314-274-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2022-11-10 |