| NPI | 1114924800 |
|---|---|
| Other Name | SOUTHBROOK SKILLED NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES REIKER Vice President Finance 573-471-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 030990) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |