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Faceson'S Residential-Stratford House

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kansas City, MO. Organization (NPI-2).

NPI number1982806790
StatusActive
Last updated in NPPESMar 2, 2010

Details

NPI
1982806790
Entity type
Organization (NPI-2)
Legal business name
Faceson'S Residential-Stratford House
Organization subpart
No
Enumeration date
Jun 4, 2007
Last updated
Mar 2, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities320900000xMOYes

Practice location

10724 Bellaire Ave
Kansas City, MO 64134-2548

Phone 816-965-5965 · Fax 816-965-5966

Mailing address

10724 Bellaire Ave
Kansas City, MO 64134-2548

Phone 816-965-5965 · Fax 816-965-5966

Authorized official

Hereldine I Faceson
Administrator
8169655965

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