NPI | 1134212822 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARO SHIRSHEKAN CEO/Managing Member 573-701-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 031313) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-08-22 |