Organization
HARRY S. TRUMAN CHILDRENS NEUROLOGICAL CENTER
Active
Other names
TNC Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D. LANDRUM JR. (EXECUTIVE DIRECTOR)
(816) 373-5060
Entity
Organization
Contact information
Practice address
8316 PERSHING RD, RAYTOWN, MO 64138-3633
(816) 737-8178
(816) 353-3607
Mailing address
12404 E US HIGHWAY 40, INDEPENDENCE, MO 64055-5954
(816) 373-5060
(816) 373-5787
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
12606545
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852522838
—
MO
Enumeration date
12/20/2006
Last updated
06/28/2011
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