| NPI | 1619151453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY GREENWALT Owner 573-756-7554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 724) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2011-01-11 |