| NPI | 1366491656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JEAN OSBURN Administrator 660-826-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 030110) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-08-22 |