NPI | 1316369192 |
---|---|
Doing Business As | JOE CLARK RESIDENTIAL CARE HOME |
Entity Type | Organization |
Authorized Contact | KAREN CLARK Managing Member 417-667-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 041597) |
Enumeration Date | 2014-01-13 |
Last Update Date | 2014-01-13 |