Lake Of The Ozarks Developmental Center in Camdenton - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Lake Of The Ozarks Developmental Center - NPI 1871627448
Lake Of The Ozarks Developmental Center is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Camdenton, Missouri. Lake Of The Ozarks Developmental Center practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Lake Of The Ozarks Developmental Center is 1871627448. The last update date is 2010-08-03.
Lake Of The Ozarks Developmental Center's current location address is Po Box 753, Camdenton, Missouri. You can contact this provider via phone number 5733464574 and fax number 5733467426. The mailing address for Lake Of The Ozarks Developmental Center is Po Box 753, Camdenton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Of The Ozarks Developmental Center |
|---|---|
| Address | Po Box 753, Camdenton, Missouri |
| Phone Number | 5733464574 |
| Fax Number | 5733467426 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Martin Leigh Marilyn |
| Telephone Number | 5733464574 |
NPI Number Detail
| NPI Number | 1871627448 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2010-08-03 |
Provider Mailing Address Detail
| Address | Po Box 753 |
|---|---|
| City | Camdenton |
| State | Missouri (MO) |
| Post Code | 650200753 |
| Phone Number | 5733464574 |
| Fax Number | 5733467426 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 15428899 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the Lake Of The Ozarks Developmental Center's unique identification number?
The Lake Of The Ozarks Developmental Center has been assigned the NPI (National Provider Identifier) Number 1871627448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Lake Of The Ozarks Developmental Center?
The Lake Of The Ozarks Developmental Center is physically situated at Po Box 753, in the city of Camdenton, state of MO, with the postal code 650200753.
What is Lake Of The Ozarks Developmental Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lake Of The Ozarks Developmental Center is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871627448 to Lake Of The Ozarks Developmental Center?
The Centers for Medicare & Medicaid Services assigned the 1871627448 to Lake Of The Ozarks Developmental Center on 2007-03-15.
As of what date was the information regarding Lake Of The Ozarks Developmental Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lake Of The Ozarks Developmental Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-03.
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