| NPI | 1235250440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA JEAN GILBERT House Manager 573-265-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-06-29 |