| NPI | 1649453796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PARRAM Assistant Director 314-664-5024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: MO 261705602) |
| Additional Taxonomies | 251E00000X Home Health |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 291705606) | |
| 372500000X Chore Provider (Licence: MO 281705608) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: MO 851705608) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-05-16 |