| NPI | 1538369145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN FORAKER President 417-561-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO 031991) |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2008-07-22 |