NPI | 1669479150 |
---|---|
Doing Business As | MT VERNON RESIDENTIAL CARE |
Entity Type | Organization |
Authorized Contact | JAMES GIARDINA President 636-394-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO 029793) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2007-10-30 |