NPI | 1013054212 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA WOLK Business Office Director 573-883-7703 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MO 245-36) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2023-01-13 |