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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