| NPI | 1881698165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MOORE Administrator 573-221-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 028345) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2012-02-24 |