NPI | 1265559280 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA DAWN STOVERINK Owner President 573-888-1201 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 032637) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2008-07-07 |