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Organization

HEARTLAND RESIDENTIAL CARE FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BROOKE ASHLEY WAITKOSS (ASST. ADMINISTRATOR)
(816) 676-1505
Entity
Organization

Contact information

Practice address
117 S 15TH ST, SAINT JOSEPH, MO 64501-2904
(816) 676-1505
Mailing address
117 S 15TH ST, SAINT JOSEPH, MO 64501-2904
(816) 676-1505

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
031795
MO

Other

Enumeration date
03/01/2007
Last updated
02/02/2023
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