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Organization
GARDEN OF SUCCESS LLC
Active
Organization
GARDEN OF SUCCESS LLC
Active
Other names
Support Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICE WANETTA DUMAS (ADMINISTRATOR)
(816) 353-6500
Entity
Organization
Contact information
Practice address
18813 E 25TH ST S, INDEPENDENCE, MO 64057-2467
(816) 353-6500
(816) 353-6502
Mailing address
18813 E 25TH ST S, INDEPENDENCE, MO 64057-2467
(816) 353-6500
(816) 353-6502
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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