| NPI | 1619914538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LEE Executive Director 573-874-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-03-22 |