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Organization
LIFE UNLIMITED, INC.
Active
Organization
LIFE UNLIMITED, INC.
Active
Other names
Immacolata Manor
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA JEANNE DEGASE (VP UNLIMITED PROPERTY MANAGEMENT)
(816) 474-3026
Entity
Organization
Contact information
Practice address
2133 MANOR WAY, LIBERTY, MO 64068-7202
(816) 781-4332
(816) 781-8820
Mailing address
320 ARMOUR RD, N KANSAS CITY, MO 64116-3515
(816) 474-3026
(816) 474-3029
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
855891008
MO
Other
Enumeration date
12/26/2006
Last updated
03/17/2018
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