Organization
COMMUNITY CHOICE, INC.
Active
Other names
Community Choice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT T SHEPHERD (PRESIDENT)
(816) 756-3397
Entity
Organization
Contact information
Practice address
4218 ROANOKE RD STE 210, KANSAS CITY, MO 64111-4983
(816) 756-3397
(816) 756-3320
Mailing address
4218 ROANOKE RD STE 210, KANSAS CITY, MO 64111-4983
(816) 756-3397
(816) 756-3320
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
385H00000X
Respite Care
—
MO
Other
Enumeration date
10/15/2007
Last updated
11/26/2007
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