NPI | 1629261516 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELIA ANGELA BROWN Owner 573-587-9965 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2007-08-23 |
Last Update Date | 2007-08-23 |