Organization
BLISS MANOR, INC.
Active
Other names
Oak Tree Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY STEVEN WICKHAM (VICE-PRESIDENT)
(816) 279-0587
Entity
Organization
Contact information
Practice address
3919 MESSANIE ST, SAINT JOSEPH, MO 64506-3458
(816) 233-4463
(816) 233-4463
Mailing address
PO BOX 7350, SAINT JOSEPH, MO 64507-7350
(816) 279-0587
(816) 279-3461
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
032706
MO
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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