Organization
PLATTE COUNTY BOARD OF SERVICES FOR THE DEVELOPMENTALLY DISABLED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE TILMAN (EXECUTIVE DIRECTOR)
(816) 891-0990
Entity
Organization
Contact information
Practice address
4809 NW 67TH ST, CANTERBURY HOUSE, KANSAS CITY, MO 64151-1925
(816) 891-0990
Mailing address
7900 NW 106TH ST, KANSAS CITY, MO 64153-2372
(816) 891-0990
(816) 891-0937
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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