| NPI | 1114100146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A COMPTON Administrators 573-334-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 033782) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |