NPI | 1023540093 |
---|---|
Doing Business As | CLARK CARE CENTER - ONE |
Entity Type | Organization |
Authorized Contact | KAREN RUTH CLARK President/Secretary 417-448-7152 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2017-03-29 |
Last Update Date | 2017-03-30 |