| NPI | 1306222195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI JONES Primary Credential Contact 314-659-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KS 11-04992) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |