Organization
FOUR SEASONS OF ADRIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY K LEDESMA (DIRECTOR)
(816) 805-0319
Entity
Organization
Contact information
Practice address
303 W MAIN ST, ADRIAN, MO 64720-9217
(816) 805-0319
(816) 297-8787
Mailing address
PO BOX 64, ADRIAN, MO 64720-0064
(816) 805-0319
(816) 297-8787
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
02/12/2019
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