Organization
LAKE AREA INDUSTRIES, INC.
Active
Organization
LAKE AREA INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIE L COUCH (EXECUTIVE DIRECTOR)
(573) 346-7934
Entity
Organization
Contact information
Practice address
1720 NORTH HWY 5, CAMDENTON, MO 65020
(573) 346-7934
(573) 346-1214
Mailing address
1720 NORTH HWY 5, CAMDENTON, MO 65020
(573) 346-7934
(573) 346-1214
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
MO
05
—
856025309
—
MO
Enumeration date
07/02/2007
Last updated
02/18/2026
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