| NPI | 1972631125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC ONYEMA Manager 314-454-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 774) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MO 795-1hh) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2015-02-27 |