| NPI | 1942322730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L WICKER Co Owner Branch Manager 573-649-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 2000164791) |
| Additional Taxonomies | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: MO 2000164791) |
| 251E00000X Home Health | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |