| NPI | 1528283892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN PRIMM Assistant Administrator 660-385-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO 032683) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |