| NPI | 1982836524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYN EUBANK Regional Director Of Operations 618-843-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IN 200-882-300A) |
| Enumeration Date | 2009-08-16 |
| Last Update Date | 2009-08-16 |