Provider Demographics
NPI:1902088909
Name:OAKWOOD LIFE-SHARING SERVICES, INC.
Entity type:Organization
Organization Name:OAKWOOD LIFE-SHARING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:OTTOW
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:417-257-7714
Mailing Address - Street 1:9888 COUNTY ROAD 8490
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-6705
Mailing Address - Country:US
Mailing Address - Phone:417-255-0881
Mailing Address - Fax:
Practice Address - Street 1:10002 COUNTY ROAD 8490
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-6706
Practice Address - Country:US
Practice Address - Phone:417-257-7714
Practice Address - Fax:417-257-7714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251C00000X, 385HR2060X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child