Organization
CAMBRIDGE OF BRANSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE LYNN GOODMAN (PROGRAM DIRECTOR)
(417) 544-0630
Entity
Organization
Contact information
Practice address
4470 N GRETNA RD, BRANSON, MO 65616-7202
(417) 544-0630
(417) 544-0671
Mailing address
4675 N GRETNA RD STE 201, BRANSON, MO 65616-7583
(417) 339-4232
(417) 334-5087
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
1291
MO
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760855431
—
MO
Enumeration date
11/03/2015
Last updated
04/15/2021
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