| NPI | 1700234937 |
|---|---|
| Doing Business As | TIMBERLAKE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MATHIAS P DASAL Member 573-481-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-06-13 |