Organization
HERITAGE RESIDENTIAL SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN V KUTCHBACK (ADMINISTRATOR)
(816) 380-3235
Entity
Organization
Contact information
Practice address
4 ORCHARD PL, HARRISONVILLE, MO 64701-3200
(816) 380-3235
(816) 380-3235
Mailing address
4 ORCHARD PL, HARRISONVILLE, MO 64701-3200
(816) 380-3235
(816) 380-3235
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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