Ozark Supported Living LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Puxico, MO
NPI 1679937569 · NPPES record last updated Apr 7, 2016
Key facts
- NPI
- 1679937569
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- LC001447119 (MO)
- Legal business name
- OZARK SUPPORTED LIVING LLC
- Practice address
- 6634 County Road 287B
Puxico, MO 63960-8510 - Phone
- (573) 222-3599
- NPI assigned
- Apr 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Sharon Miller Read
- Title
- Owner/Administrator
- Phone
- (573) 222-3599
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | LC001447119 | MO | Yes |
Addresses
Primary practice location
6634 County Road 287B
Puxico, MO 63960-8510
Mailing address
6634 County Road 287B
Puxico, MO 63960-8510
Phone (573) 222-3599
Other providers in Puxico, MO
- Sherry Limbaugh
- Chelsey Long
- Mingo Residential Care of Puxico LLC
- Missouri Delta Medical Center
- Missouri Delta Medical Center
- Angela L Patterson
- Poplar Bluff Regional Medical Center LLC
- Poplar Bluff Regional Medical Center, LLC
- Puxico 1 Inc
- Puxico Pharmacy, LLC
All providers in Puxico, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.