NPI | 1144396300 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN SHADBOLT CEO 314-729-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2006-11-28 |
Last Update Date | 2025-07-11 |