| NPI | 1780679555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE CHUKUKERE Mds Coordinator 314-355-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 031388) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-08-22 |