| NPI | 1821044132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE SCHADE Treasurer 573-471-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-11-29 |