| NPI | 1780431759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA PARK Director 314-498-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |