| NPI | 1982855052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN P MILLER Principal / Owner 314-431-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0048587) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2024-03-18 |