| NPI | 1659113942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA NICOLE HENDERSON CEO 314-659-7952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |