NPI 1194840702

Applewood Group Home

Organisation Mental Illness Intermediate Care Facility Lebanon, MO

Practice location

Address: 18811 Highway 32, Lebanon, MO 65536-8102
Phone: (417) 532-2774
Fax: (417) 722-4417
Mailing address: 27 Hopper Trl, Urbana, MO 65767-9234

Authorised official

Name: Gary D Boggs
Title: President
Phone: (417) 722-4416

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Missouri →

Registry record

NPI: 1194840702
Entity type: Organization
NPI issued: 20 Mar 2007
Record last updated: 22 Aug 2020

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.