| NPI | 1669349452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY DAVIS Owner 618-356-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |