Organization
SIDE BY SIDE II, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEE WEISENBORN (PRESIDENT)
(816) 356-0923
Entity
Organization
Contact information
Practice address
3923 SW REGATTA DR, LEES SUMMIT, MO 64082-4650
(816) 356-0923
(816) 356-0925
Mailing address
6612 BLUE RIDGE BLVD, A, RAYTOWN, MO 64133-4847
(816) 356-0923
(816) 356-0925
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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