| NPI | 1932859055 |
|---|---|
| Doing Business As | SOUTHBROOK NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | KYLE TIMOTHY SCHADE Manager 573-471-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |