| NPI | 1710262712 |
|---|---|
| Doing Business As | CLARK'S MOUNTAIN NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | KYLE SCHADE President 573-471-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2022-01-10 |