| NPI | 1417170150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE M STRUTYNSKI Administrator 314-965-7616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 032103) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |