Organization
EAGLE HEIGHTS ISL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN JUDITH DEMPSEY CTRS (QMRP)
(816) 765-1185
Entity
Organization
Contact information
Practice address
8905 CAMBRIDGE AVE, APT 2202, KANSAS CITY, MO 64138
(816) 965-0701
Mailing address
PO BOX 560, BELRON, MO 64012
(816) 765-1185
(816) 765-1185
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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