| NPI | 1912010109 |
|---|---|
| Doing Business As | OAK KNOLL NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | JOHN BRENCICK Administrator 314-374-7419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO O31149) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2009-06-17 |