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Organization

APROCOT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHAN HENDRIK MOSTERT PHD (DIRECTOR)
(417) 886-3835
Entity
Organization

Contact information

Practice address
5535 S SOUTHWOOD RD, SPRINGFIELD, MO 65804-5295
(417) 886-3835
Mailing address
5535 S SOUTHWOOD RD, SPRINGFIELD, MO 65804-5295
(417) 886-3835

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
06/30/2008
Last updated
06/30/2008
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