| NPI | 1568582583 |
|---|---|
| Doing Business As | L & J RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | DAVID L NOLTING Manager 573-756-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MO 031382) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-08-22 |