NPI | 1467449413 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY SUMMA Administrator 660-562-3515 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 031589) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2012-03-28 |