| NPI | 1851146856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIAUNA HICKEM Co Owner/Manager 573-321-9803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |