| NPI | 1912579533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALISA A NELSON Owner 816-469-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-08-24 |