| NPI | 1861035115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNYA MOODY Director/Owner 314-794-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2022-12-14 |