NPI | 1275910341 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER MICHAEL VANCIL Owner 314-630-3543 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 043055) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2015-04-28 |