| NPI | 1346369261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY NICOLE KISER Occupational Therapist 314-703-5619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 2002015687) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |