Organization
BETTY BILLIARD GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN HARDEN MPA (EXECUTIVE DIRECTOR)
(816) 523-2988
Entity
Organization
Contact information
Practice address
4904 E 41ST TER, KANSAS CITY, MO 64130-1639
(816) 861-3840
(816) 523-2988
Mailing address
4904 E 41ST TER, KANSAS CITY, MO 64130-1639
(816) 861-3840
(816) 523-2988
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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