| NPI | 1902966278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVE LYN JUANITA RIVERA Medical Administrator 314-469-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 264773003) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2008-02-26 |