| NPI | 1811276462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE L HULSEY Sr. Program Director 1314-873-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO OC 004071) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |