Organization
KRC 1505 HEALTH CARE SERVICES LLC
Active
Other names
Clark Care Center - One
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CLARK (MANAGING MEMBER)
(417) 667-3900
Entity
Organization
Contact information
Practice address
1505 EAST ASHLAND STREET, NEVADA, MO 64772
(417) 667-3900
(417) 667-3923
Mailing address
1505 E ASHLAND ST, NEVADA, MO 64772-4025
(417) 667-3900
(417) 667-3923
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
041595
MO
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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