Mracles Residential Care Llc-Gower House in Kansas City - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mracles Residential Care Llc-Gower House - NPI 1992821102
Mracles Residential Care Llc-Gower House is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Kansas City, Missouri. Mracles Residential Care Llc-Gower House practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Mracles Residential Care Llc-Gower House is 1992821102. The last update date is 2013-10-16.
Mracles Residential Care Llc-Gower House's current location address is 1130 E 75th Ter, Kansas City, Missouri. You can contact this provider via phone number 8164377027 and fax number 8164377027. The mailing address for Mracles Residential Care Llc-Gower House is 1130 E 75th Ter, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mracles Residential Care Llc-Gower House |
|---|---|
| Address | 1130 E 75th Ter, Kansas City, Missouri |
| Phone Number | 8164377027 |
| Fax Number | 8164377027 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Carlisle Renee Dedree |
| Telephone Number | 8164377027 |
NPI Number Detail
| NPI Number | 1992821102 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2013-10-16 |
Provider Mailing Address Detail
| Address | 1130 E 75th Ter |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641311901 |
| Phone Number | 8164377027 |
| Fax Number | 8164377027 |
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 |
|---|---|---|---|
| 856158001 | MO | -- |
Post Comment/ Review Below
What is the Mracles Residential Care Llc-Gower House's 1992821102?
The Mracles Residential Care Llc-Gower House's NPI (National Provider Identifier) Number is 1992821102. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mracles Residential Care Llc-Gower House located?
The Mracles Residential Care Llc-Gower House is located at 1130 E 75Th Ter, Kansas City, MO 641311901.
What is Mracles Residential Care Llc-Gower House's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mracles Residential Care Llc-Gower House is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date did the Mracles Residential Care Llc-Gower House receive its 1992821102 assignment from the Centers for Medicare & Medicaid Services?
The Mracles Residential Care Llc-Gower House was assigned its 1992821102 by the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the information related to Mracles Residential Care Llc-Gower House most recently updated or refreshed?
The details pertaining to the Mracles Residential Care Llc-Gower House, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-10-16.
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