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Ana Luisa Kump

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lees Summit, MO. Individual provider (NPI-1).

NPI number1497436612
StatusActive
Last updated in NPPESJul 31, 2023

Details

NPI
1497436612
Entity type
Individual (NPI-1)
Name
Ana Luisa Kump
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 31, 2023
Certification date
Jul 30, 2023
Last updated
Jul 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities–MOYes

Practice location

904 Sw 8th St
Lees Summit, MO 64081-2620

Phone 913-375-8130

Mailing address

904 Sw 8th St
Lees Summit, MO 64081-2620

Phone 913-375-8130

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Other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Lees Summit, MO

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