| NPI | 1588652341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MEYRAND Administrator 660-747-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2022-07-21 |