NPI | 1669569042 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY MICHAEL WOODARD President 314-921-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 032056) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2008-05-20 |