| NPI | 1376539320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT MCCANN Controller 573-335-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 030491) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2008-10-20 |