| NPI | 1508311747 |
|---|---|
| Doing Business As | MARYVILLE LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | MATHIAS P DASAL Member 573-481-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 043410) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MO 042102) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-11-29 |