Organization
INDEPENDENT LIVING OPPORTUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHETARA DENISE SIMS (ADMINISTRATOR)
(816) 877-5590
Entity
Organization
Contact information
Practice address
7336 TRACY AVE, KANSAS CITY, MO 64131-1734
(816) 877-5590
Mailing address
7336 TRACY AVE, KANSAS CITY, MO 64131-1734
(816) 877-5590
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
LC0822051
MO
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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