| NPI | 1902243900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARA ROCHELLE WHITE Designated Manager 314-359-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO LC1314718) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-06-12 |