| NPI | 1811359466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY L. WATKINS Administrator 417-781-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MO 043401) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |