NPI 1023540093
1505 Health Care Services, INC.
Practice location
- Address
- 1505 E Ashland St, Nevada, MO 64772-4025
- Phone
- (417) 667-3900
- Fax
- (417) 661-3923
- Mailing address
- 1505 E Ashland St PO Box 246, Nevada, MO 64772-4025
Authorised official
- Name
- Karen Ruth Clark
- Title
- President/Secretary
- Phone
- (417) 448-7152
Registered specialties
Assisted Living Facility (Mental Illness)
Primary
Registry record
- NPI
- 1023540093
- Entity type
- Organization
- NPI issued
- 29 Mar 2017
- Record last updated
- 30 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.