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Organization

MILLER COUNTY BOARD FOR SERVICES

Active
Other names
Miller County Group Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KARLA YEARY LENT (DIRECTOR OF SPECIAL SERVICES)
(573) 348-3751
Entity
Organization

Contact information

Practice address
3811 HIGHWAY D, LAKE OZARK, MO 65049-2290
(573) 348-3751
Mailing address
3811 HIGHWAY D, LAKE OZARK, MO 65049-2290
(573) 348-3751

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1529-8593
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750415733
MO
05
1881728640
MO
Enumeration date
03/14/2007
Last updated
08/22/2020
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