| NPI | 1366570079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J BENTLEY Administrator Owner 314-426-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 033727) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |