| NPI | 1982026415 |
|---|---|
| Doing Business As | THE VILLAGES OF JACKSON CREEK |
| Entity Type | Organization |
| Authorized Contact | MELVIN J RECTOR Manager Of LLC 636-946-3677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-07-23 |