| NPI | 1558487124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELIIE TSIMERMAN Owner Administrator 314-369-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 814) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MO lc6820830) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-05-08 |