| NPI | 1710124870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LYNN DANIELS Director 314-484-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-11-03 |