OrganizationActive
Applewood Group Home
NPI 1194840702 · Mental Illness Intermediate Care Facility · Lebanon, MO
Provider details
- NPI number
- 1194840702
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Boggs, President(417) 722-4416
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
18811 Highway 32
Lebanon, MO 65536-8102
Phone: (417) 532-2774
Fax: (417) 722-4417
Approximate (ZIP-level) locationGet directions
Mailing address
27 Hopper Trl
Urbana, MO 65767-9234
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.