Organization
OZARK SUPPORTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON MILLER READ (OWNER/ADMINISTRATOR)
(573) 222-3599
Entity
Organization
Contact information
Practice address
6634 COUNTY ROAD 287B, PUXICO, MO 63960-8510
(573) 222-3599
Mailing address
6634 COUNTY ROAD 287B, PUXICO, MO 63960-8510
(573) 222-3599
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
LC001447119
MO
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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