Provider Demographics
NPI:1801058953
Name:APROCOT LLC
Entity type:Organization
Organization Name:APROCOT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHAN
Authorized Official - Middle Name:HENDRIK
Authorized Official - Last Name:MOSTERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:417-886-3835
Mailing Address - Street 1:5535 S SOUTHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-5295
Mailing Address - Country:US
Mailing Address - Phone:417-886-3835
Mailing Address - Fax:
Practice Address - Street 1:5535 S SOUTHWOOD RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-5295
Practice Address - Country:US
Practice Address - Phone:417-886-3835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management