| NPI | 1639480304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEHELLENA POLK Owner 314-656-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MO 251g00000x) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |