| NPI | 1669800264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA LEE GRAY Designated Manager 314-477-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO LC1204478) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |