Life Enhancement Village

NPI #1538338652 in Nixa, Missouri

Provider Information

NPI Number: 1538338652
Entity Type: Organization
Organization Name: Life Enhancement Village
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Feb 22, 2008
Last Updated: Feb 22, 2008

Practice Location

Address: 732 S GREGG RD
City: Nixa
State: Missouri
ZIP Code: 65714-7419
Phone: (417) 725-6671

Authorized Official

Name: KENNY L ROGERS
Title: CEO
Phone: (417) 725-6680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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