NPI | 1326235664 |
---|---|
Entity Type | Organization |
Authorized Contact | LATERRYL SADDLER Licensed Nursing Home Administrator 314-725-3709 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 033507) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2007-10-01 |