| NPI | 1154474005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE KRISTEN SHAW Administrator 573-334-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 033613) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |