| NPI | 1851415905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G OTKE President 573-659-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 035366) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-03-20 |