| NPI | 1720104912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN CLARK Administrator 314-353-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 033769) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |