Organization
COUNCIL OF CHURCHES OF THE OZARKS
Active
Parent organization
COUNCIL OF CHURCHES OF THE OZARKS
Other names
Daybreak Adult Day Care / Eldercare Transit Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNCIL OF CHURCHES OF THE OZARKS
Authorized official
MR. MARK WILLIAM STRUCKHOFF REV. (EXECUTIVE DIRECTOR)
(417) 862-3586
Entity
Organization
Contact information
Practice address
1461 E SEMINOLE ST, SPRINGFIELD, MO 65804-2431
(417) 881-0133
(417) 882-3739
Mailing address
PO BOX 3947, SPRINGFIELD, MO 65808-3947
(417) 862-3586
(417) 862-2129
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1063
MO
261QM0850X
Adult Mental Health Clinic/Center
ER019913016
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
ER019913016
MO
343800000X
Secured Medical Transport (VAN)
U182232013
MO
343900000X
Non-emergency Medical Transport (VAN)
U182232013
MO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
1063
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291869501
—
MO
Enumeration date
02/05/2013
Last updated
02/14/2013
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