Organization
COUNCIL OF CHURCHES OF THE OZARKS
Active
Parent organization
COUNCIL OF CHURCHES OF THE OZARKS
Other names
Daybreak Adult Day Care / Elder Care Transit Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNCIL OF CHURCHES OF THE OZARKS
Authorized official
MR. MARK WILLIAM STRUCKHOFF REV (EXECUTIVE DIRECTOR)
(417) 862-3586
Entity
Organization
Contact information
Practice address
1461 E SEMINOLE ST, SPRINGFIELD, MO 65804-2431
(417) 881-0133
(417) 882-3793
Mailing address
PO BOX 3947, SPRINGFIELD, MO 65808-3947
(417) 862-3586
(417) 862-2129
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1063
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
ER019913016
MO
343800000X
Secured Medical Transport (VAN)
U182232013
MO
343900000X
Non-emergency Medical Transport (VAN)
U182232013
MO
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291869501
—
MO
Enumeration date
03/20/2007
Last updated
02/14/2013
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