Organization
DEVELOPMENTAL CENTER OF THE OZARKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN MCKELVY (EXECUTIVE DIRECTOR)
(417) 829-0893
Entity
Organization
Contact information
Practice address
1545 E PYTHIAN ST, SPRINGFIELD, MO 65802-2139
(417) 829-0893
(417) 831-7539
Mailing address
1545 E PYTHIAN ST, SPRINGFIELD, MO 65802-2139
(417) 829-0893
(417) 831-7539
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292521309
—
MO
Enumeration date
07/20/2006
Last updated
09/19/2012
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