NPI | 1730481102 |
---|---|
Entity Type | Organization |
Authorized Contact | PENELOPE ELLEN WILLIAMS Registered Nurse Owner 573-649-9411 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 2000164791) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2010-11-17 |