| NPI | 1093977365 |
|---|---|
| Other Name | BROOKWOOD GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | GARY D BOGGS Director 417-722-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MO 1471 10370) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |