| NPI | 1962045336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA D MITCHELL Owner/Executive Director 314-341-0915 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |