| NPI | 1346531415 |
|---|---|
| Doing Business As | JOE CLARK RESIDENTIAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | BARRY GENE CLARK President/Secretary 417-321-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MO 038772) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |