| NPI | 1952909822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA SHANNON Owner 314-405-0658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385HR2065X Respite Care Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |