| NPI | 1407099500 |
|---|---|
| Doing Business As | VICTORIAN MANOR OF OAK GROVE/SULLIVAN |
| Entity Type | Organization |
| Authorized Contact | NANCY QUICK Secretary 573-437-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 26324D) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |