| NPI | 1255465928 |
|---|---|
| Doing Business As | JORDAN CREEK |
| Entity Type | Organization |
| Authorized Contact | JAMES C LINCOLN Member 573-481-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 034476) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-07-30 |