| NPI | 1740669373 |
|---|---|
| Former Legal Business Name | VICTOR'S HOME CARE CDS, LLC |
| Entity Type | Organization |
| Authorized Contact | YELENA DAVYDENKO Owner 314-872-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MO 001448674) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |