| NPI | 1962104364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTECA NICOLE JOHNSON Owner 314-452-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-11-07 |