| NPI | 1962633818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REXANNA KAY KREISEL Owner 660-668-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 037166) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-30 |