Organization
STAR TIME RIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY B. ADAMS (PRESIDENT)
(816) 540-2346
Entity
Organization
Contact information
Practice address
18315 S WILMOTH RD, PLEASANT HILL, MO 64080-9245
(816) 540-2346
(816) 540-2346
Mailing address
18315 S WILMOTH RD, PLEASANT HILL, MO 64080-9245
(816) 540-2346
(816) 540-2346
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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