| NPI | 1972002988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY NICOLE JENNINGS Owner 314-503-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2020-08-10 |