| NPI | 1598140758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNICE NICOLE SHELTON Owner 636-465-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-08-06 |