| NPI | 1194864447 |
|---|---|
| Doing Business As | FREDERICK ST MANOR MAPLE CREST MANOR |
| Entity Type | Organization |
| Authorized Contact | TERESA A COMPTON Administrator 573-334-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |