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APPLEWOOD GROUP HOME NPI 1194840702


NPI Information

NPI: 1194840702
Provider Name: APPLEWOOD GROUP HOME
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
18811 HIGHWAY 32
LEBANON, MO
ZIP 65536
Phone: (417) 532-2774
Get Directions

APPLEWOOD GROUP HOME is an intermediate care facility mental illness in Lebanon, MO. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. APPLEWOOD GROUP HOME NPI is 1194840702. The provider is registered as an organization entity type.

The provider's business location address is:

18811 HIGHWAY 32
LEBANON, MO
ZIP 65536-102
Phone: (417) 532-2774
Fax: (417) 722-4417

The provider's authorized official is Gary D Boggs .
The authorized official title is President and has the following contact phone number (417) 722-4416.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310500000XIntermediate Care Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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