| NPI | 1518212331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LYN WOMACK Clinic Coordinator 417-256-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MO 940563208) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |