| NPI | 1639219967 |
|---|---|
| Doing Business As | WW COUNTRY HOME ISL |
| Entity Type | Organization |
| Authorized Contact | GREG ORDWAY Director 417-336-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-18 |