| NPI | 1790940989 |
|---|---|
| Doing Business As | OAKBROOK RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | RAJAB TONGWA ECHESSA Administrator 417-207-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MO 035394) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |