| NPI | 1528204955 |
|---|---|
| Former Legal Business Name | PATRICIA'S RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | CANDACE RAE STEARNS Owner/ Operator 573-223-4689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO 311ZA0620X) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |