| NPI | 1346473873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYRA R PHAN Physicat Therapist 314-469-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 100097) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |