CHANGE ACADEMY LAKE OZARK

Clinic/Center

Active Organization
NPI: 1528469772

Practice Address

130 CALO LN
Lake Ozark, MO 65049

Phone: (573) 365-2221

Specialties

Specialty Code Primary License
Home Health 251E00000X No 016604 (MO)
Early Intervention Provider Agency 252Y00000X No 016604 (MO)
Preferred Provider Organization 305R00000X No 016604 (MO)
Clinic/Center 261Q00000X Yes 016604 (MO)

Frequently Asked Questions

NPI 1528469772 is the National Provider Identifier for CHANGE ACADEMY LAKE OZARK, a Clinic/Center provider located in Lake Ozark, MO. This NPI was enumerated on September 8, 2014.

Quick Facts

NPI
1528469772
Type
Organization
Enumerated
Sep 8, 2014
Last Updated
May 22, 2015

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