Organization
SERVCARE, INC
Active
Other names
Ozark Riverview Manor
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN T TLUSTOS (PRESIDENT/ADMINISTRATOR)
(417) 581-6025
Entity
Organization
Contact information
Practice address
1200 W HALL ST, OZARK, MO 65721-9103
(417) 581-6025
(417) 581-4652
Mailing address
PO BOX 157, OZARK, MO 65721-0157
(417) 581-6025
(417) 581-4652
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032812
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103060505
—
MO
Enumeration date
09/28/2006
Last updated
10/19/2012
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