| NPI | 1710699756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DENIECE O'NEILL Executive Director 417-331-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-29 |