Organization
CHILDREN'S CENTER FOR THE VISUALLY IMPAIRED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY SHAWN BOEHM (EXECUTIVE DIRECTOR)
(816) 841-2284
Entity
Organization
Contact information
Practice address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(816) 841-2284
(816) 753-7836
Mailing address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(816) 841-2284
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
N00007354
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506282101
—
MO
Enumeration date
03/27/2007
Last updated
06/16/2023
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