| NPI | 1578128971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ECKHOFF Manager 573-701-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-31 |