| NPI | 1801164678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY D DICKINSON Executive Director 314-600-8527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MO LC1173127) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |