| NPI | 1821036443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE M CANFIELD Administrator 417-548-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 032297) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |