| NPI | 1972249118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MANDISA JOHNSON Director 314-551-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2023-12-08 |