| NPI | 1760669626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON C PIERCE Administrator 573-238-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 034164) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |