Organization
GREEN ACRES HOME OF WEST PLAINS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL NEWTON (PRESIDENT)
(417) 257-0954
Entity
Organization
Contact information
Practice address
3280 COUNTY ROAD 4220, WEST PLAINS, MO 65775-6436
(417) 257-0954
(417) 257-2982
Mailing address
PO BOX 166, WEST PLAINS, MO 65775-0166
(417) 257-0954
(417) 257-2982
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/14/2007
Last updated
09/11/2025
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