Organization
PACE HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOPHIA MARILYN CHAMBERLAIN (ADMINISTRATOR)
(816) 356-2005
Entity
Organization
Contact information
Practice address
8409 OLIVE ST, KANSAS CITY, MO 64132-2320
(816) 523-0878
Mailing address
9812 E 87TH ST, SUITE #D, RAYTOWN, MO 64138-4703
(816) 356-2005
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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