| NPI | 1770623266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN K REAGAN Member Manager 573-783-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |