| NPI | 1629161617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS STAYTON Director Of Clinical Services 417-343-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 032535) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-07-16 |