| NPI | 1194765529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKHLOUF SUISSA Member 314-531-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 265717) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-11-27 |