Olive Mountain Residential Care LLC

NPI #1811929623 in Lebanon, Missouri

Provider Information

NPI Number
1811929623
Entity Type
Organization
Organization Name
Olive Mountain Residential Care LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 6, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
25466 N HWY 5
ZIP Code
65536-0969
Phone
(417) 532-3045

Authorized Official

Name
MISS STEPHANIE NICHOLE UPTON
Title
FINANCIAL MANAGER
Phone
(417) 532-3045

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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