Dickerson Isl in Kansas City - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Dickerson Isl - NPI 1255505939
Dickerson Isl is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Kansas City, Missouri. Dickerson Isl practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Dickerson Isl is 1255505939. The last update date is 2008-04-14.
Dickerson Isl's current location address is 9401 E 90th Ter, Kansas City, Missouri. You can contact this provider via phone number 8163538850. The mailing address for Dickerson Isl is 9401 E 90th Ter, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dickerson Isl |
|---|---|
| Address | 9401 E 90th Ter, Kansas City, Missouri |
| Phone Number | 8163538850 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER |
|---|---|
| Authorized Official Name | Dickerson Ray Charles |
| Telephone Number | 8163538850 |
NPI Number Detail
| NPI Number | 1255505939 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2008-04-14 |
Provider Mailing Address Detail
| Address | 9401 E 90th Ter |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641384770 |
| Phone Number | 8163538850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 9227 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dickerson Isl by the Centers for Medicare & Medicaid Services?
The Dickerson Isl has been assigned the NPI (National Provider Identifier) 1255505939 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Dickerson Isl is physically located?
The Dickerson Isl is physically situated at the following address: 9401 E 90Th Ter, Kansas City, MO, 641384770.
What is Dickerson Isl's area of expertise and its corresponding taxonomy classification?
The Dickerson Isl's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1255505939 to Dickerson Isl?
The Centers for Medicare & Medicaid Services assigned the 1255505939 to Dickerson Isl on 2008-04-14.
When was the information related to Dickerson Isl most recently updated or refreshed?
The details pertaining to the Dickerson Isl, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-14.