Organization · Type 2 NPI

Olive Mountain Residential Care LLC

Assisted Living Facility · Lebanon, MO

NPI number 1811929623 Active

Practice location

25466 N Hwy 5
Lebanon, MO 65536-0969

Call (417) 532-3045 Map

Fax (417) 532-4104

Mailing address

PO Box 969
Lebanon, MO 65536-0969

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X033209 (MO)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1811929623

Olive Mountain Residential Care LLC's National Provider Identifier is 1811929623, issued on Jul 6, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lebanon, MO. The record was last updated on Aug 22, 2020.