| NPI | 1457708018 |
|---|---|
| Doing Business As | SOUTHGATE LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD B BEDELL President 573-471-1276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 045843) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2017-12-11 |