Organization
AHG-STONEY RIDGE, LLC
Active
Other names
Stoney Ridge Village
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L. OHARE (EXECUTIVE DIRECTOR)
(660) 827-3993
Entity
Organization
Contact information
Practice address
25023 BOTHWELL PARK RD, SEDALIA, MO 65301-0084
(660) 827-3993
(660) 827-3996
Mailing address
25023 BOTHWELL PARK RD, SEDALIA, MO 65301-0084
(660) 827-3993
(660) 827-3996
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
034546
MO
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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