| NPI | 1386980068 |
|---|---|
| Doing Business As | VICTORIAN PLACE OF SULLIVAN RESIDENTIAL CARE BY AMERICARE |
| Entity Type | Organization |
| Authorized Contact | JAMES REIKER President 573-471-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |