| NPI | 1124550363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY PRICE Owner 573-747-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 045034) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |