| NPI | 1194021196 |
|---|---|
| Doing Business As | LIFE HOMES |
| Entity Type | Organization |
| Authorized Contact | GREG ORDWAY Vice President 573-256-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |