Organization Name: | THE OZARKS METHODIST MANOR |
NPI Number: | 1710960455 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY ANN COOPER (EXECUTIVE DIRECTOR) |
Mailing Address: | 205 South College Ave Marionville |
State: | MO US |
Postal Code: | 657050403 |
Phone Number: | 4172582573 |
Fax Number: | 4172582240 |
NPI Enumeration Date: | 11/28/2005 |
NPI Last Update Date: | 09/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 031264 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |