Individual
MRS. ADDIE LEE MANLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7443 CAMPBELL ST, KANSAS CITY, MO 64131-1642
(816) 822-1788
(816) 822-1788
Mailing address
7443 CAMPBELL ST, KANSAS CITY, MO 64131-1642
(816) 822-1788
(816) 822-1788
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
05/13/2008
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