| NPI | 1871686394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE ORLINSKY Manager 314-588-7518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 034754) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-03-19 |