| NPI | 1528555620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATAVIA LESANTO BOYD Owner 314-585-9485 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 174200000X | |
| 251B00000X Case Management | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2022-09-20 |