| NPI | 1386159309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J JACKSON CFO 636-939-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 044623) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2019-09-27 |