| NPI | 1093981052 |
|---|---|
| Other Name | PAL |
| Entity Type | Organization |
| Authorized Contact | TERRI A. MARR Director 660-584-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MO 8530834180) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-07-22 |