| NPI | 1992424451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN CLEMONS Co Owner 314-441-8872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |