| NPI | 1881839728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN PACK SELLS President 573-471-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 044781) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2021-03-03 |