| NPI | 1649466210 |
|---|---|
| Doing Business As | STONEY RIDGE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. OHARE Executive Director 660-827-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MO 034546) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |