Organization
CLINTON GRAN VILLA LLC
Active
Other names
Jefferson Gardens Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE TIMOTHY SCHADE (MANAGER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
509 W ROGERS ST, CLINTON, MO 64735-2548
(660) 885-9770
Mailing address
509 W ROGERS ST, CLINTON, MO 64735-2548
(660) 885-9770
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MO
Other
Enumeration date
04/23/2008
Last updated
02/05/2026
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