NPI | 1063730869 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MICHELLE REITER Administrator 314-497-6331 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 037959) |
Enumeration Date | 2010-05-04 |
Last Update Date | 2010-05-04 |