| 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 |