Organization
GARDEN OF SUCCESS LLC
Active
Other names
Support Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICE WANETTA DUMAS (ADMINISTRATOR)
(816) 353-6500
Entity
Organization
Contact information
Practice address
18813 E 25TH ST S, INDEPENDENCE, MO 64057-2467
(816) 353-6500
(816) 353-6502
Mailing address
18813 E 25TH ST S, INDEPENDENCE, MO 64057-2467
(816) 353-6500
(816) 353-6502
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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