NPI | 1760870224 |
---|---|
Other Name | AMANDAS MINI DAY SPA |
Entity Type | Organization |
Authorized Contact | AMANDA RANSOM Owner 314-467-0766 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 2001010642) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2015-01-06 |