Organization
LAKE REGIONAL HEALTH SYSTEM
Active
Other names
Lake Regional Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MCROBERTS (CEO)
(573) 348-8756
Entity
Organization
Contact information
Practice address
1029 NICHOLS RD STE A, OSAGE BEACH, MO 65065-3702
(573) 302-2860
(573) 348-8326
Mailing address
54 HOSPITAL DRIVE, OSAGE BEACH, MO 65065-3050
(573) 348-8000
(573) 348-8326
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
583558804
—
MO
Enumeration date
02/23/2006
Last updated
10/13/2023
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