| NPI | 1013386614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CHARLES HOEHN Member Manager 636-698-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3175) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |