NPI | 1386801215 |
---|---|
Doing Business As | STONEBRIDGE VILLA MARIE |
Entity Type | Organization |
Authorized Contact | MARK LIERMAN Authorized Official 636-477-3280 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2008-05-19 |
Last Update Date | 2020-12-01 |