Organization
BEACON SPECIALIZED LIVING MISSOURI INC
Active
Organization
BEACON SPECIALIZED LIVING MISSOURI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS JOE TREBBE III LCSW (VICE PRESIDENT OF OPERATIONS)
(417) 689-3302
Entity
Organization
Contact information
Practice address
19401 E 40 HWY STE 100, INDEPENDENCE, MO 64055-5400
(417) 689-3302
Mailing address
19401 E 40 HWY STE 100, INDEPENDENCE, MO 64055-5400
(417) 689-3302
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
11/20/2024
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