Organization
HOLBROOK SISTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA JO MANGE (BOARD CHAIRPERSON)
(816) 517-4104
Entity
Organization
Contact information
Practice address
9206 E 44TH ST, KANSAS CITY, MO 64133-1414
(816) 356-5556
(816) 356-5556
Mailing address
9206 E 44TH ST, KANSAS CITY, MO 64133-1414
(816) 356-5556
(816) 356-5556
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266237403
—
MO
05
—
286237409
—
MO
05
—
856164207
—
MO
05
—
856164215
—
MO
Enumeration date
12/27/2006
Last updated
05/16/2008
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