| NPI | 1013034602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA DAWN STOVERINK Owner Administrator 573-888-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 033614) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-07-07 |