| NPI | 1225167364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HOUSTON KIMBROUGH Owner 660-886-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 033694) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |