Organization
DEVELOPMENTAL DISABILITY SERVICES OF JACKSON COUNTY - EITAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P. HASELTINE (DEPUTY DIRECTOR)
(816) 363-2000
Entity
Organization
Contact information
Practice address
8508 HILLCREST RD, KANSAS CITY, MO 64138-2762
(816) 363-2000
(816) 363-1755
Mailing address
8508 HILLCREST RD, KANSAS CITY, MO 64138-2762
(816) 363-2000
(816) 363-1755
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853541506
—
MO
Enumeration date
10/20/2009
Last updated
10/20/2009
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