| NPI | 1407281405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL RICE Therapist 573-253-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 2013030549) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |