| Applewood Group Home | |
|
18811 Highway 32 Lebanon MO 65536-8102 | |
| (417) 589-4211 | |
| (417) 532-7816 |
| Full Name | Applewood Group Home |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18811 Highway 32, Lebanon, Missouri |
| Authorized Official Name and Position | Gary D Boggs (PRESIDENT) |
| Authorized Official Contact | 4177224416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applewood Group Home 27 Hopper Trl Urbana MO 65767-9234 Ph: (417) 722-4416 | Applewood Group Home 18811 Highway 32 Lebanon MO 65536-8102 Ph: (417) 589-4211 |
| NPI Number | 1164567269 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164567269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 38134001058360 (Missouri) | Primary |
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