NPI 1588105092
Altar Support, INC
Practice location
- Address
- 2750 N 87th St, Kansas City, KS 66109-1437
- Phone
- (913) 915-1380
Authorised official
- Name
- Derek Dewayne Vann
- Title
- President
- Phone
- (913) 915-1380
Registered specialties (6)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Physical Disabilities Residential Treatment Facility
Mental Illness Community Based Residential Treatment Facility
Private Vehicle
Registry record
- NPI
- 1588105092
- Entity type
- Organization
- NPI issued
- 16 Mar 2017
- Record last updated
- 16 Mar 2017
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.