# OZARK HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1942746912
- **Authorized official:** ANDREA JASDANWALA FNP (DIRECTOR)
- **Authorized official phone:** (573) 201-0356

## Contact information

- **Practice address:** 7505 E 87TH ST, KANSAS CITY, MO 64138-3917
- **Practice address phone:** (573) 201-0356
- **Mailing address:** 164 COUNTY ROAD 4190, SALEM, MO 65560-8286
- **Mailing address phone:** (312) 953-5636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2015021629 | MO | Yes |

## Other

- **Enumeration date:** 01/13/2017
- **Last updated:** 01/06/2025