Organization
OUR HOUSE OF KC, INC
Active
Other names
My House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HALISA E. BRADSHAW (OFFICE ASSISTANT)
(816) 737-8628
Entity
Organization
Contact information
Practice address
9406 E 63RD ST, B, RAYTOWN, MO 64133-4904
(816) 737-8628
(816) 737-1064
Mailing address
9406 E 63RD ST, B, RAYTOWN, MO 64133-4904
(816) 737-8628
(816) 737-1064
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
17809068
MO
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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