# DANCING HORIZON HEALTH LC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346308749
- **Authorized official:** KEVIN W LOUDERBACK HHP (MANAGER)
- **Authorized official phone:** (417) 429-2181

## Contact information

- **Practice address:** 2400 BOONSLICK DRIVE, BOONVILLE, MO 65233
- **Practice address phone:** (660) 882-9840
- **Practice address fax:** (660) 882-3504
- **Mailing address:** PO BOX 5111, SPRINGFIELD, MO 65801
- **Mailing address phone:** (417) 429-2185
- **Mailing address fax:** (417) 832-9799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | R1F83 | MO | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 10/22/2007