| NPI | 1942755301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA EDWARDS Executive Director 618-691-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO lc001478447) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |