| NPI | 1740457951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MICHELLE HIGGINS Otr/L 314-795-6473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 2005009896) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |