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Organization

BLUE CASTLE, LLC

Active
Other names
Blue Castle of the Ozarks, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE ROWETON (OWNER/ADMINISTRATOR)
(417) 399-7979
Entity
Organization

Contact information

Practice address
1830 E. LAVERN, BOLIVAR, MO 65613
(417) 777-2583
(417) 326-2584
Mailing address
1830 E. LAVERN, BOLIVAR, MO 65613
(417) 777-2583
(417) 326-2584

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
039817
MO

Other

Enumeration date
11/16/2006
Last updated
06/04/2021
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