| NPI | 1750702403 |
|---|---|
| Doing Business As | VICOTRIAN PLACE OF CUBA |
| Entity Type | Organization |
| Authorized Contact | JAMES REIKER CFO 573-471-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |