| NPI | 1912582099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA HARRIS Executive Director 314-779-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-10-13 |