# THE ARC OF THE OZARKS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Arc of the Ozarks - Lakeside House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508074790
- **Authorized official:** MR. MICHAEL POWERS (PRESIDENT)
- **Authorized official phone:** (417) 864-7887

## Contact information

- **Practice address:** 3110 S LAKESIDE AVE, SPRINGFIELD, MO 65804-4724
- **Practice address phone:** (417) 886-5782
- **Practice address fax:** (417) 877-1948
- **Mailing address:** 1501 E PYTHIAN ST, SPRINGFIELD, MO 65802-2139
- **Mailing address phone:** (417) 864-7887
- **Mailing address fax:** (417) 864-4307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2007
- **Last updated:** 01/24/2019
