| NPI | 1962810770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN JOHNSON Owner 573-518-0444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 042283) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |