Organization
MCWHORTER ISL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M MCWHORTER (ADMINISTRATOR)
(816) 694-1524
Entity
Organization
Contact information
Practice address
906 W 98TH ST, KANSAS CITY, MO 64114-3837
(816) 694-1524
(816) 765-9837
Mailing address
906 W 98TH ST, KANSAS CITY, MO 64114-3837
(816) 694-1524
(816) 765-9837
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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