| NPI | 1104137173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S. BLATTEL Executive Director 636-240-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 038114) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: MO 038114) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |