| NPI | 1205168523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRMAL KUMAR SAMANTA Speech Language Pathologist 573-450-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: MO 2004016682) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 2004016682) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |