Lake Ozark Retirement Center, Inc.
NPI #1710969571 in Osage Beach, Missouri
Provider Information
- NPI Number
- 1710969571
- Entity Type
- Organization
- Organization Name
- Lake Ozark Retirement Center, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 17, 2005
- Last Updated
- Oct 9, 2008
Practice Location
- Address
- 872 COLLEGE BLVD
- City
- Osage Beach
- State
- Missouri
- ZIP Code
- 65065-8688
- Phone
- (573) 302-0900
Authorized Official
- Name
- MR. TOM OTKE
- Title
- PRESIDENT/OWNER
- Phone
- (573) 659-6607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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