Mracles Residential Care LLC-Fall House
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kansas City, MO. Organization (NPI-2).
Details
- NPI
- 1861664591
- Entity type
- Organization (NPI-2)
- Legal business name
- Mracles Residential Care LLC-Fall House
- Organization subpart
- No
- Enumeration date
- Apr 2, 2008
- Last updated
- Oct 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1130 E 75th TerKansas City, MO 64131-1901
Phone 816-521-8896 · Fax 816-521-8896
Mailing address
1130 E 75th TerKansas City, MO 64131-1901
Phone 816-521-8896 · Fax 816-437-7027
Authorized official
Dedree Renee Carlisle
Administrator
8165218896
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