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Organization

ALEISA HORNE

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Other names
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Organization subpart
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Provider details

NPI number
Authorized official
MS. ALEISA JOANNE HORNE BACHELOR OF ARTS (EXECUTIVE DIRECTOR)
(816) 761-5881
Entity
Organization

Contact information

Practice address
8304 E 91ST ST, KANSAS CITY, MO 64138-4347
(816) 761-5881
(816) 767-0453
Mailing address
8304 E 91ST ST, KANSAS CITY, MO 64138-4347
(816) 761-5881
(816) 767-0453

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
856220504
MO
Enumeration date
04/15/2008
Last updated
04/15/2008
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