Organization
WILDWOOD COTTAGE
Active
Parent organization
KMW,INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KMW,INC.
Authorized official
MRS. VIRGINIA MAE MORGAN (ADMINISTRATOR-OWNER)
(816) 353-5274
Entity
Organization
Contact information
Practice address
11212 E 71ST ST, RAYTOWN, MO 64133-6801
(816) 353-5274
(816) 353-1226
Mailing address
11212 E 71ST ST, RAYTOWN, MO 64133-6801
(816) 353-5274
(816) 353-1226
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
MO
Other
Enumeration date
04/18/2008
Last updated
04/20/2008
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