NPI | 1972586659 |
---|---|
Doing Business As | THE VILLAS |
Entity Type | Organization |
Authorized Contact | TOM OTKE President Owner 573-659-6607 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 031260) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MO 031261) |
Enumeration Date | 2005-11-28 |
Last Update Date | 2008-06-30 |