| NPI | 1356698930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HERBST Manager 636-448-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: MO 040469) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |