| NPI | 1336497833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERRA BROWN Speech Language Pathologist 618-530-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 2012016487) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |