| NPI | 1033458435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C LINCOLN Member 573-481-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 040882) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-04-30 |