# BLISS MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bliss Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285787002
- **Authorized official:** MR. BRADLEY STEVEN WICKHAM (VICE-PRESIDENT)
- **Authorized official phone:** (816) 279-0587

## Contact information

- **Practice address:** 2929 LAFAYETTE ST, SAINT JOSEPH, MO 64507-1615
- **Practice address phone:** (816) 233-2418
- **Practice address fax:** (816) 233-1917
- **Mailing address:** PO BOX 7350, SAINT JOSEPH, MO 64507-7350
- **Mailing address phone:** (816) 279-0587
- **Mailing address fax:** (816) 279-3461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 032511 | MO | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020