| NPI | 1518653757 |
|---|---|
| Doing Business As | STONEBRIDGE RUSSELLVILLE |
| Entity Type | Organization |
| Authorized Contact | MARK LIERMAN President 636-477-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |