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Organization

HOUSE OF PARADISE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BROOKS MASTER DEGREE (CEO)
(913) 244-4583
Entity
Organization

Contact information

Practice address
8160 PARALLEL PKWY, STE 202, KANSAS CITY, KS 66112-2011
(913) 244-4583
Mailing address
4603 SAINT JOHN AVE, KANSAS CITY, MO 64123-1839
(913) 244-4583

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
09/12/2016
Last updated
09/12/2016
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