# OZARK RURAL HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1871218099
- **Authorized official:** SARFARAZ ABDEALI JASDANWALA MD (OWNER/CEO)
- **Authorized official phone:** (312) 953-5636

## Contact information

- **Practice address:** 3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
- **Practice address phone:** (312) 953-5636
- **Mailing address:** 17781 HORNBEAN DR, WILDWOOD, MO 63005-4229
- **Mailing address phone:** (312) 953-5636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2022
- **Last updated:** 10/10/2022