Clinton Gran Villa LLC

NPI #1023283850 in Clinton, Missouri

Provider Information

NPI Number
1023283850
Entity Type
Organization
Organization Name
Clinton Gran Villa LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 23, 2008
Last Updated
Feb 5, 2026

Practice Location

Address
509 W ROGERS ST
ZIP Code
64735-2548
Phone
(660) 885-9770

Authorized Official

Name
KYLE TIMOTHY SCHADE
Title
MANAGER
Phone
(573) 471-1113

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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