NPI | 1306831011 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA B HAGLER-REID Executive Director 314-576-5545 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MO 031035) |
310400000X Assisted Living Facility (Licence: MO 031036) | |
Enumeration Date | 2005-09-19 |
Last Update Date | 2011-10-26 |