Organization
APPLEWOOD LANE CORPORATION
Active
Other names
Applewood Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY D BOGGS (PRESIDENT)
(417) 722-4416
Entity
Organization
Contact information
Practice address
18811 HIGHWAY 32, LEBANON, MO 65536-8102
(417) 589-4211
(417) 532-7816
Mailing address
27 HOPPER TRL, URBANA, MO 65767-9234
(417) 722-4416
(417) 722-4417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
38134001058360
MO
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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