Organization
SUPPORTING HEARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSCHELLE TRE'NICCE HORTON (CO-DIRECTOR)
(816) 359-9202
Entity
Organization
Contact information
Practice address
7344 INDIANA AVE, KANSAS CITY, MO 64132-1912
(816) 241-0465
Mailing address
3231 ROBERTS ST, KANSAS CITY, MO 64124-1927
(816) 241-0465
(816) 241-0465
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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