| NPI | 1790879500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS STAYTON President 417-891-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 027442) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |