Organization
VILLAGES OF CHRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELENA MUSCHELLE OVERTON (DIRECTOR)
(913) 638-0523
Entity
Organization
Contact information
Practice address
155 S 18TH ST, #111, KANSAS CITY, KS 66102-5642
(913) 602-8480
Mailing address
155 S 18TH ST, #111, KANSAS CITY, KS 66102-5642
(913) 602-8480
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B0105
KS
347C00000X
Private Vehicle
B105
KS
385H00000X
Respite Care
B105
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200536190B
—
KS
Enumeration date
08/17/2010
Last updated
08/17/2010
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