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Organization

BEACON HILL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANNY DAVIS L ADM. (ADMINISTRATOR)
(816) 531-6168
Entity
Organization

Contact information

Practice address
2905 CAMPBELL ST, KANSAS CITY, MO 64109-1417
(816) 531-6168
(819) 931-5970
Mailing address
2905 CAMPBELL ST, KANSAS CITY, MO 64109-1417
(816) 531-6168
(819) 931-5970

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
032051
MO

Other

Enumeration date
01/20/2007
Last updated
07/09/2008
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