| NPI | 1508455221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JOHNSON Owner 314-401-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2025-03-12 |