| NPI | 1558076547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKO DANYELLE MOORE Business Owner/Employee 314-445-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 174200000X |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 314000000X Skilled Nursing Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |