NPI 1023283850

Clinton Gran Villa LLC

Organisation Assisted Living Facility Clinton, MO

Practice location

Address: 509 W Rogers St, Clinton, MO 64735-2548
Phone: (660) 885-9770

Authorised official

Name: Kyle Timothy Schade
Title: Manager
Phone: (573) 471-1113

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Missouri →

Registry record

NPI: 1023283850
Entity type: Organization
NPI issued: 23 Apr 2008
Record last updated: 5 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.