| NPI | 1114126232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA LEE GANT PT A 314-340-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 116873) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |