| NPI | 1558015552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHA JACKSON Director 314-329-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2024-06-25 |