| NPI | 1477671279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN T KOHL Owner 573-783-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MO 035212) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-07-25 |