| NPI | 1891478301 |
|---|---|
| Doing Business As | OZARKS HEALTHCARE WOUND CARE MOUNTAIN GROVE |
| Entity Type | Organization |
| Authorized Contact | MELODY SIMPSON Administrator 417-853-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |