| NPI | 1760180228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESHA CLEOLA AJAYI CEO 314-925-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 174200000X |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| 273Y00000X Rehabilitation Unit | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |