| NPI | 1811351620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA R BROOKS Certified Manager 314-243-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: MO V059063006) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |