| NPI | 1245378371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL E. CARLSON President 573-635-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 033716) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |