| NPI | 1518154608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA LEE LONG RN Director Owner 417-206-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 722) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-07-14 |