Organization
STROETKER DIVERSIVIED INC
Active
Other names
maywood manor
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HERMAN STROETKER (PRESIDENT)
(816) 254-6789
Entity
Organization
Contact information
Practice address
1041 W TRUMAN RD, INDEPENDENCE, MO 64050-3447
(816) 254-6789
Mailing address
1041 W TRUMAN RD, INDEPENDENCE, MO 64050-3447
(816) 254-6789
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
035264
MO
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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