| NPI | 1063620565 |
|---|---|
| Other Name | PARADISE HOMES |
| Entity Type | Organization |
| Authorized Contact | JERRILYN DIANE ADKISSON Owner 573-722-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |