| NPI | 1700108446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAUKEISHA LEE Owner, Designated Manager 314-932-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO LC9612810) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2011-03-24 |