| NPI | 1861519118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANDERSON Secretary 573-546-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 336-9438) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |