Organization
RAYTOWN OPCO LLC
Active
Organization
RAYTOWN OPCO LLC
Active
Other names
Trustwell Living of Raytown
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA LEBAR JD (COUNSEL)
(502) 419-2571
Entity
Organization
Contact information
Practice address
9110 E 63RD ST, RAYTOWN, MO 64133-4804
(636) 981-6744
Mailing address
9110 E 63RD ST, RAYTOWN, MO 64133-4804
(636) 981-6744
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053790
DEPARTMENT OF HEALTH AND SENIOR SERVICES
MO
Enumeration date
08/08/2026
Last updated
08/08/2026
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