Organization
DOGWOOD INVESTMENT GROUP LLC
Active
Other names
Licking Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE M BIGHAM (MANAGER AND PRESIDENT)
(417) 425-3062
Entity
Organization
Contact information
Practice address
225 W HIGHWAY 32, LICKING, MO 65542-9832
(417) 425-3062
Mailing address
PO BOX 191, MOUNTAIN GROVE, MO 65711-0191
(417) 425-3062
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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