Organization
KRC 1495 HEALTH CARE SERVICES LLC
Active
Other names
Joe Clark Residential Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN CLARK (MANAGING MEMBER)
(417) 667-5000
Entity
Organization
Contact information
Practice address
1495 E ASHLAND ST, NEVADA, MO 64772-4016
(417) 667-5000
Mailing address
PO BOX 246, NEVADA, MO 64772-0246
(417) 667-5000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
041597
MO
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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