| NPI | 1629052063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E LAVALLE Owner 573-334-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MO 100253) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-10-16 |