| NPI | 1063719607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGRETTA WILLIAMS Home Manager 573-795-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |