| NPI | 1912035981 |
|---|---|
| Doing Business As | JANA REA SALMONS |
| Entity Type | Organization |
| Authorized Contact | JANA REA SALMONS Owner 573-893-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 8002087) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |