| NPI | 1609628429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY WILLIAMS Owner 314-215-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |