Garden Of Success Llc

NPI 1073760492 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1073760492
Enumeration Date 08/27/2008
Last Updated 08/27/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PATRICE WANETTA PATRICE
Position ADMINISTRATOR
Phone (816) 353-6500
Fax (816) 353-6502
Practice Location
18813 E 25TH ST S
INDEPENDENCE MO, 64057-2467, US
Phone (816) 353-6500
Fax (816) 353-6502
Business Location
18813 E 25TH ST S
INDEPENDENCE MO, 64057-2467, US
Phone (816) 353-6500
Fax (816) 353-6502
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Garden Of Success Llc NPI is 1073760492, taxonomy code is 320600000X Garden Of Success Llc physically located at 18813 E 25th St S, Independence MO, 64057-2467. NPI Number 1033115704 has the healthcare provider type.

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1073760492 NPI number is provided on an as is basis without warranty of any kind. 1073760492 is maintained by the National Plan & Provider Enumeration System. The contents of Garden Of Success Llc are for informational purposes only.