| NPI | 1538108469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKHLOUF SUISSA President 314-361-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 265524) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2009-12-23 |