Organization
MOM AND POP'S ADULT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA RENEE BAIN LPN (OWNER/DIRECTOR)
(660) 200-6891
Entity
Organization
Contact information
Practice address
905 N PRICE LN, CLINTON, MO 64735-1721
(660) 885-1095
Mailing address
905 N PRICE LN, CLINTON, MO 64735-1721
(660) 885-1095
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
1220
MO
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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