| NPI | 1164617064 |
|---|---|
| Doing Business As | CANDLELIGHT LODGE |
| Entity Type | Organization |
| Authorized Contact | ERIC L CLARK Business Manager 573-449-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 034174) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |