| NPI | 1679072425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSE DAVIS Owner Operator 573-889-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MO 134186B) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2020-04-30 |