| NPI | 1184247215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LAWRENCE BERRY Chief Executive Officer 314-745-5067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2020-05-23 |