| NPI | 1962531079 |
|---|---|
| Doing Business As | PARK PLACE |
| Entity Type | Organization |
| Authorized Contact | JOHN B GAMMON General Manager 636-625-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |