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 |