| NPI | 1992227128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN COLEMAN Director 618-855-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101Y00000X Counselor |
| 174200000X Meals | |
| 251E00000X Home Health | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |