Healthcare Provider Details

I. General information

NPI: 1023943784
Provider Name (Legal Business Name): ML-OP BUTLER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E NURSERY ST
BUTLER MO
64730-2331
US

IV. Provider business mailing address

103 E NURSERY ST
BUTLER MO
64730-2331
US

V. Phone/Fax

Practice location:
  • Phone: 660-679-3179
  • Fax:
Mailing address:
  • Phone: 660-679-3179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: LORI HARMON
Title or Position: VICE PRESIDENT OF REVENUE MANAGEMEN
Credential:
Phone: 620-709-0352