| NPI | 1316148026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS L JONES Admin 660-291-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 032074) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |