NPI 1073760492

Garden of Success LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Independence, MO

Practice location

Address: 18813 E 25th St S, Independence, MO 64057-2467
Phone: (816) 353-6500
Fax: (816) 353-6502

Authorised official

Name: Patrice Wanetta Dumas
Title: Administrator
Phone: (816) 353-6500

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1073760492
Entity type: Organization
NPI issued: 27 Aug 2008
Record last updated: 27 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.