| NPI | 1730607607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA L WILLIAMS Owner/Director 573-481-1088 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: MO 6448) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2023-09-11 |