| NPI | 1235918590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY SUE SPEER Owner/Manager 573-217-8374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |