| NPI | 1992394399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOSHA PAACK Owner 314-749-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |