NPI | 1801029673 |
---|---|
Entity Type | Organization |
Authorized Contact | FOLASADE AYINMODU Owner/Director 314-323-9426 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO 842) |
Enumeration Date | 2009-08-27 |
Last Update Date | 2009-10-02 |