Garden Of Success Dba: Support Professionals in Independence - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Garden Of Success Dba: Support Professionals - NPI 1982878112
Garden Of Success Dba: Support Professionals is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Independence, Missouri. Garden Of Success Dba: Support Professionals practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Garden Of Success Dba: Support Professionals is 1982878112. The last update date is 2008-04-18.
Garden Of Success Dba: Support Professionals's current location address is 18813 E 25th St S, Independence, Missouri. You can contact this provider via phone number 8162171791 and fax number 8168170087. The mailing address for Garden Of Success Dba: Support Professionals is 18813 E 25th St S, Independence, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Garden Of Success Dba: Support Professionals |
|---|---|
| Address | 18813 E 25th St S, Independence, Missouri |
| Phone Number | 8162171791 |
| Fax Number | 8168170087 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Dumas Wanetta Patrice |
| Telephone Number | 8162171791 |
NPI Number Detail
| NPI Number | 1982878112 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2008-04-18 |
Provider Mailing Address Detail
| Address | 18813 E 25th St S |
|---|---|
| City | Independence |
| State | Missouri (MO) |
| Post Code | 640572467 |
| Phone Number | 8162171791 |
| Fax Number | 8168170087 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1740486430 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Garden Of Success Dba: Support Professionals by the Centers for Medicare & Medicaid Services (CMS)?
The Garden Of Success Dba: Support Professionals has been assigned the NPI (National Provider Identifier) 1982878112. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Garden Of Success Dba: Support Professionals is located?
The Garden Of Success Dba: Support Professionals is situated at the following address: 18813 E 25Th St S, Independence, MO, 640572467.
What is Garden Of Success Dba: Support Professionals's specialized field of practice, and what is the corresponding taxonomy classification code?
The Garden Of Success Dba: Support Professionals's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982878112 to Garden Of Success Dba: Support Professionals?
The Centers for Medicare & Medicaid Services assigned the 1982878112 to Garden Of Success Dba: Support Professionals on 2008-04-18.
When was the Garden Of Success Dba: Support Professionals's information last updated?
The Garden Of Success Dba: Support Professionals's information was last updated on 2008-04-18.
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