| NPI | 1295081222 |
|---|---|
| Doing Business As | SHADY LAWN LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLENE OSBY Vice President 641-472-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 040355) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2015-10-05 |