Organization
COMMUNITY ACCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA ANN OLIVER (DIRECTOR)
(816) 257-7222
Entity
Organization
Contact information
Practice address
1814 N WHITNEY RD, INDEPENDENCE, MO 64058-1574
(816) 257-7222
(816) 257-7188
Mailing address
1814 N WHITNEY RD, INDEPENDENCE, MO 64058-1574
(816) 257-7222
(816) 257-7188
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000787
—
MO
05
—
8001575
—
MO
Enumeration date
04/16/2008
Last updated
04/16/2008
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