| NPI | 1871190470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO THOMAS Vice President 314-324-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |