| NPI | 1093015547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDAH BIENSTOCK Manager 314-917-1297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 780147) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-12-27 |