# GARDEN OF SUCCESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Support Professionals
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073760492
- **Authorized official:** MRS. PATRICE WANETTA DUMAS (ADMINISTRATOR)
- **Authorized official phone:** (816) 353-6500

## Contact information

- **Practice address:** 18813 E 25TH ST S, INDEPENDENCE, MO 64057-2467
- **Practice address phone:** (816) 353-6500
- **Practice address fax:** (816) 353-6502
- **Mailing address:** 18813 E 25TH ST S, INDEPENDENCE, MO 64057-2467
- **Mailing address phone:** (816) 353-6500
- **Mailing address fax:** (816) 353-6502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2008
- **Last updated:** 08/27/2008