| NPI | 1194818104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS STAYTON President 417-891-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 032767) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-08-19 |