| 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 |