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Organization
GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS
Active
Organization
GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LADA JR. (PRESIDENT/CEO)
(816) 842-7425
Entity
Organization
Contact information
Practice address
1817 CAMPBELL ST, KANSAS CITY, MO 64108-1739
(816) 842-7425
Mailing address
1817 CAMPBELL ST, KANSAS CITY, MO 64108-1739
(816) 842-7425
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/17/2018
Last updated
10/03/2018
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