The Community Of The Good Shepherd

NPI 1205965290 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1205965290
Enumeration Date 03/05/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KRISTA RENEE' KRISTA
Position ACCOUNTING CLERK
Phone (816) 767-0565
Fax
Practice Location
10725 GREENWOOD RD
KANSAS CITY MO, 64134-3048, US
Phone (816) 767-0565
Fax
Business Location
10101 JAMES A REED RD
KANSAS CITY MO, 64134-2183, US
Phone (816) 767-8090
Fax (816) 767-8091
Toxanomy
Taxonomy Code 320900000X
License State Missouri
License Number MW014113
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According to our database, The Community Of The Good Shepherd NPI is 1205965290, taxonomy code is 320900000X and license number is MW014113, license state is located at Missouri. The Community Of The Good Shepherd physically located at 10725 Greenwood Rd, Kansas City MO, 64134-3048. NPI Number 1033115704 has the healthcare provider type.

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1205965290 NPI number is provided on an as is basis without warranty of any kind. 1205965290 is maintained by the National Plan & Provider Enumeration System. The contents of The Community Of The Good Shepherd are for informational purposes only.