Organization
LIVE AND GROWTH HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WATKINS (PRESIDENT)
(816) 215-0967
Entity
Organization
Contact information
Practice address
6308 EVANSTON AVE, RAYTOWN, MO 64133-4930
(816) 215-0967
Mailing address
16914 SUMMIT DR, BELTON, MO 64012-7846
(816) 215-0967
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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