Organization
KELLEY L YEOKUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLEY LYNN YEOKUM MSE (SOLE PROPRIETOR)
(816) 419-7106
Entity
Organization
Contact information
Practice address
27421 S STATE ROUTE 2, FREEMAN, MO 64746-7102
(816) 250-2398
(816) 250-2398
Mailing address
27421 S STATE ROUTE 2, FREEMAN, MO 64746-7102
(816) 250-2398
(816) 250-2398
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
62819415
MO
Other
Enumeration date
02/09/2007
Last updated
06/30/2008
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