| NPI | 1962220186 |
|---|---|
| Doing Business As | RC PREMIER VILLA 1 |
| Entity Type | Organization |
| Authorized Contact | ZADEL R CABRERA Administrator 573-717-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |