| NPI | 1417334137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTAY MONIQUE KING Director 314-458-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 2000150468) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |