| NPI | 1740977214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS SHAUNTAY PARKER Manager 314-749-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-08-20 |