| NPI | 1326205253 |
|---|---|
| Doing Business As | STONEBRIDGE LAKE OZARK |
| Entity Type | Organization |
| Authorized Contact | MARK LIERMAN Secretary Treasurer 636-477-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2020-12-01 |