| NPI | 1063424000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARO SHIRSHEKAN CEO/Managing Memeber 573-701-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 032557) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |