| NPI | 1952962573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHAUNA PARKER Director 314-391-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 372500000X Chore Provider | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |