| NPI | 1720480700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA TRANNE BAKER Owner/Manager 314-942-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 4650622016) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 164W00000X Licensed Practical Nurse | |
| Enumeration Date | 2014-09-21 |
| Last Update Date | 2020-03-25 |