| NPI | 1487804100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA K COWSER Financial Director 618-652-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 015) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2022-07-21 |