| NPI | 1417164419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE STUBBLEFIELD Office Manager 314-803-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 032972) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |