| NPI | 1043587736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA COOK Manager 314-383-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO 975) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |