| NPI | 1770829608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKO FARMER Member/Manger/Owner 314-435-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care (Licence: MO 2000149870) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2024-05-20 |