| NPI | 1538976899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASSMA DAVIS Owner 314-643-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 261QP2300X Clinic/Center, Primary Care | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |