Organization
THE COMMUNITY OF THE GOOD SHEPHERD
Active
Organization
THE COMMUNITY OF THE GOOD SHEPHERD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTA R BAUMGARDNER (ACCOUNTING CLERK)
(816) 595-6340
Entity
Organization
Contact information
Practice address
10101 JAMES A REED RD, KANSAS CITY, MO 64134-2183
(816) 595-6340
(816) 595-6341
Mailing address
10101 JAMES A REED RD, KANSAS CITY, MO 64134-2183
(816) 595-6340
(816) 595-6341
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
MW014114
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
ER019905495
MO
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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