NPI | 1821006354 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ROSS President 636-916-9402 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 357-18) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2007-10-24 |