| NPI | 1588101315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARSALYN HODGES Manager 573-803-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 251V00000X Voluntary or Charitable | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |