| NPI | 1174717383 |
|---|---|
| Doing Business As | JOE CLARK RESIDENTIAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | BARRY GENE CLARK Admin./President 417-321-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 033970) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |