Provider Demographics
NPI:1205967809
Name:OZARK VALLEYS COMMUNITY SERVICES, INC.
Entity type:Organization
Organization Name:OZARK VALLEYS COMMUNITY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-546-2418
Mailing Address - Street 1:7070 NO. HIGHWAY 21
Mailing Address - Street 2:
Mailing Address - City:PILOT KNOB
Mailing Address - State:MO
Mailing Address - Zip Code:63663-0494
Mailing Address - Country:US
Mailing Address - Phone:573-546-2418
Mailing Address - Fax:573-546-4241
Practice Address - Street 1:7070 NO. HIGHWAY 21
Practice Address - Street 2:
Practice Address - City:PILOT KNOB
Practice Address - State:MO
Practice Address - Zip Code:63663-0494
Practice Address - Country:US
Practice Address - Phone:573-546-2418
Practice Address - Fax:573-546-4241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)