| NPI | 1730611583 |
|---|---|
| Doing Business As | JOE CLARK RESIDENTIAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | KAREN RUTH CLARK President/Secretary 417-448-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |