| NPI | 1679087753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE MWANGI Member 314-548-9209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 22915338) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-12-27 |