| NPI | 1649651472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAOHN COOPER SHAMEEKA COOPER Executive Director/Owner 314-709-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO LC9782201) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2016-02-24 |