Organization
HOUSE OF CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHILOMINA NONYEREM IKPE (ADMINISTRATOR)
(816) 921-6852
Entity
Organization
Contact information
Practice address
3744 BENTON BLVD, KANSAS CITY, MO 64128-2515
(816) 921-6852
Mailing address
3744 BENTON BLVD, KANSAS CITY, MO 64128-2515
(816) 921-6852
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
034007
MO
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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