| NPI | 1689043713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN WARD Director 314-348-9273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |