NPI 1376684563

Community Access

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

Practice location

Address: 1814 N Whitney Rd, Independence, MO 64058-1574
Phone: (816) 257-7222
Fax: (816) 257-7188

Authorised official

Name: Rita Ann Oliver
Title: Executive Director
Phone: (816) 257-7222

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 800378 (MO)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Missouri →

Registry record

NPI: 1376684563
Entity type: Organization
NPI issued: 9 Feb 2007
Record last updated: 1 Apr 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.