# COUNTRY CLUB CARE CENTER OF WARRENSBURG L C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Club Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356481907
- **Authorized official:** MR. STEVE BUNCH (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (660) 429-4444

## Contact information

- **Practice address:** 503 REGENT DR, WARRENSBURG, MO 64093-3231
- **Practice address phone:** (660) 429-4444
- **Practice address fax:** (660) 429-4331
- **Mailing address:** 503 REGENT DR, WARRENSBURG, MO 64093-3231
- **Mailing address phone:** (660) 429-4444
- **Mailing address fax:** (660) 429-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 035594 | MO | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 06/17/2008