| NPI | 1619367661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS D WHITE CEO 573-204-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-03-30 |