| NPI | 1033107511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN COSGROVE Accountant 636-537-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 029973) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2009-11-13 |