| NPI | 1063540706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMI SAMPLE President 573-334-7679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 031521) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |