Organization
POLK COUNTY SENATE BILL 40
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE LEAR (POLK COUNTY BOARD CHAIR)
(417) 777-3000
Entity
Organization
Contact information
Practice address
4746 S 131ST RD, BOLIVAR, MO 65613-2886
(417) 777-3000
Mailing address
PO BOX 944, BOLIVAR, MO 65613-0944
(417) 777-3000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/04/2013
Last updated
05/14/2013
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