# KINNEY GROUP CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861528986
- **Authorized official:** LYNTHIA V. PONDER R.N. (ADMINISTRATOR)
- **Authorized official phone:** (816) 923-9621

## Contact information

- **Practice address:** 3416 MICHIGAN AVE, KANSAS CITY, MO 64109-2541
- **Practice address phone:** (816) 923-9621
- **Mailing address:** 3416 MICHIGAN AVE, KANSAS CITY, MO 64109-2541
- **Mailing address phone:** (816) 923-9621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 7171986 | MO | Yes |

## Other

- **Enumeration date:** 02/25/2007
- **Last updated:** 08/29/2008