| NPI | 1760667208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JASON MILLS CFO 314-317-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0048827) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2024-03-18 |