Organization
WATERFORD VILLAGE LP
Active
Other names
Waterford LadiesHome
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PEARSON (GENERAL PARTNER)
(913) 631-0127
Entity
Organization
Contact information
Practice address
500 NW VESPER ST, BLUE SPRINGS, MO 64014-2744
(816) 228-6337
Mailing address
15017 W 71ST TER, SHAWNEE, KS 66216-4012
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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