LAKELAND HOSPITAL ACQUISITION CORPORATION
Psychiatric at Market Ave, Springfield, MO

License number
Missouri R7E05
Category
Medical Practice
Type
Public Health & General Preventive Medicine
License number
Missouri 101693
Category
Psychiatric
Type
Psychiatry
License number
Missouri 101693
Category
Psychiatric
Type
Child & Adolescent Psychiatry
Owner
Name: MR. KEITH FURMAN
Title: PRESIDENT-CEO
Phone: (417) 865-5581
Address
Address
440 S Market Ave, Springfield, MO 65806
National Provider ID: 1225174311
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LAKELAND HOSPITAL ACQUISITION CORPORATION at bizstanding.com

LAKELAND HOSPITAL ACQUISITION CORPORATION

Little Rock, AR  -  Springfield, MO

Status:
Inactive
Registration:
Mar 23, 2011
Addresses:
425 W Capitol Ave, Little Rock, AR 72201 (Physical)
440 S Market Ave, Springfield, MO 65806 (Foreign)
440 S Market St, Springfield, MO 65806 (Foreign)
State ID:
800196305
Business type:
Foreign For Profit Corporation
Entity State:
GA
Presidents:
J. Mack Nunn (Incorporator/Organizer),Lakeland Hospital Acquisition Corporation (Tax Preparer, Vice-President),Joey A. Jacobs (President),...
Agent:
Ct Corporation System,425 W Capitol Ave, Little Rock, AR 72201 (Physical)
Filled under act:
For Bus Corp; 958 of 1987

Psychiatric licenses in Missouri










Other Doctors licenses in Missouri