| NPI | 1851429807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSEPH DESTEPHANE President 660-826-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-05-20 |