| NPI | 1174596928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS P PRYOR Administrator 573-729-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 25234) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2009-11-05 |